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Updated: Jun 3, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Seasonality of MRSA infections
Leonard A Mermel1, Jason T Machan, Stephen Parenteau
1Department of Epidemiology and Infection Control, Rhode Island Hospital, Providence, Rhode Island, United States of America. lmermel@lifespan.org
Abstract:
Using MRSA isolates submitted to our hospital microbiology laboratory January 2001-March 2010 and the number of our emergency department (ED) visits, quarterly community-associated (CA) and hospital-associated (HA) MRSA infections were modeled using Poisson regressions. For pediatric patients, approximately 1.85x (95% CI 1.45x-2.36x, adj. p<0.0001) as many CA-MRSA infections per ED visit occurred in the second two quarters as occurred in the first two quarters. For adult patients, 1.14x (95% CI 1.01x-1.29x, adj.p = 0.03) as many infections per ED visit occurred in the second two quarters as in the first two quarters. Approximately 2.94x (95% CI 1.39x-6.21x, adj.p = 0.015) as many HA-MRSA infections per hospital admission occurred in the second two quarters as occurred in the first two quarters for pediatric patients. No seasonal variation was observed among adult HA-MRSA infections per hospital admission. We demonstrated seasonality of MRSA infections and provide a summary table of similar observations in other studies.
Insights
Seasonal patterns influence Methicillin-resistant Staphylococcus aureus (MRSA) infections. Both community-associated (CA) and hospital-associated (HA) MRSA showed increased incidence in later quarters, particularly in pediatric patients.
Area of Science:
- Infectious Diseases Epidemiology
- Microbiology
- Public Health Surveillance
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant public health challenge.
- Understanding temporal trends in MRSA infections is crucial for effective control strategies.
- Previous studies have suggested potential seasonality in MRSA infections, but further investigation is warranted.
Purpose of the Study:
- To investigate the seasonal variation in community-associated (CA) and hospital-associated (HA) MRSA infections.
- To analyze MRSA infection rates in relation to emergency department visits and hospital admissions.
- To compare seasonal trends between pediatric and adult patient populations.
Main Methods:
- Utilized MRSA isolates from a hospital microbiology laboratory (January 2001-March 2010).
- Employed Poisson regression models to analyze quarterly CA-MRSA and HA-MRSA infections.
- Correlated infection data with emergency department visits and hospital admission numbers.
Main Results:
- Pediatric CA-MRSA infections per ED visit were significantly higher in the latter half of the year (1.85x increase).
- Adult CA-MRSA infections per ED visit showed a smaller but significant seasonal increase (1.14x).
- Pediatric HA-MRSA infections per hospital admission demonstrated a substantial seasonal rise (2.94x), while adult HA-MRSA showed no significant seasonal variation.
Conclusions:
- MRSA infections exhibit distinct seasonal patterns, with higher incidence observed in the second half of the year.
- Pediatric populations appear more susceptible to seasonal variations in both CA-MRSA and HA-MRSA.
- Findings highlight the importance of considering seasonality in MRSA surveillance and intervention planning.
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