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Increasing Hospitalizations and General Practice Prescriptions for Community-onset Staphylococcal Disease, England.

We used Hospital Episode Statistics to describe trends in hospital admissions for community-onset staphylococcal disease and national general practice data to describe trends in community prescribing for staphylococcal disease. Hospital admission rates for staphylococcal septicemia, staphylococcal pneumonia, staphylococcal scalded-skin syndrome, and impetigo increased >5-fold. Admission rates increased 3-fold for abscesses and cellulitis and 1.5-fold for bone and joint infections. In primary care settings during 1991–2006, floxacillin prescriptions increased 1.8-fold and fusidic acid prescriptions 2.5-fold. The increases were not matched by increases in admission rates for control conditions. We identified a previously undescribed but major increase in pathogenic community-onset staphylococcal disease over the past 15 years. These trends are of concern given the international emergence of invasive community-onset staphylococcal infections. Emerging Infectious Diseases. 2008;14(5).

Author: Hayward A, Knott F, Petersen I, Livermore DM, Duckworth G, Islam A

Published: 01/01/2008

Publication Type: Journal article

Publisher: Emerging Infectious Diseases