Infection Control Practices and Methicillin-Resistant Staphylococcus aureus Skin Infections: A Survey of Students in

Jonathon T Egan1

  • 1Los Angeles College of Chiropractic, Southern California University of Health Sciences, Whittier, California.

Abstract

Insights

This study found a low incidence of methicillin-resistant Staphylococcus aureus (MRSA) skin infections among chiropractic students. While one college showed a univariate association, overall infection control behaviors were not significantly linked to MRSA SSTI.

Area of Science:

  • Infectious Disease Epidemiology
  • Chiropractic Education
  • Public Health

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant public health concern.
  • Understanding the incidence and risk factors for MRSA skin and soft tissue infections (SSTIs) in healthcare professional students is crucial for preventing transmission.
  • Chiropractic students, as future healthcare providers, are a key population to study regarding infection risks and behaviors.

Purpose of the Study:

  • To determine the incidence of self-reported physician-diagnosed MRSA SSTI among chiropractic students.
  • To investigate the association between MRSA SSTI and specific infection control behaviors (hand hygiene, table hygiene, gown/lotion sharing) and patient care initiation.
  • To identify any specific chiropractic campuses with a higher incidence of MRSA SSTI.

Main Methods:

  • A questionnaire-based study was conducted with 312 chiropractic students across 9 US campuses.
  • The questionnaire utilized was adapted from established studies by Bearman (2010) and Evans (2007).
  • Statistical analyses included Fisher exact test, crude odds ratios, and two logistic regression models to assess associations.

Main Results:

  • The overall incidence of post-matriculation MRSA SSTI among the surveyed chiropractic students was low, with fewer than 5 cases reported.
  • A univariate association was found between attendance at one specific chiropractic college and post-matriculation MRSA SSTI (P = .010).
  • The logistic regression model for MRSA SSTI was statistically significant, but the individual variables within the model did not show significant associations.

Conclusions:

  • The reported incidence of MRSA SSTI among chiropractic students in this study is low.
  • While a univariate association was noted at one institution, overall infection control behaviors were not significantly linked to MRSA SSTI in this cohort.
  • Further research may be warranted to explore campus-specific factors influencing MRSA SSTI incidence in chiropractic students.

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