Increasing hospitalizations for serious skin infections in New Zealand children, 1990–2007

O'Sullivan, Cathryn; Baker, Michael G; Zhang, J.

doi:10.1017/s0950268810002761

Cited by 30 publications

(66 citation statements)

References 19 publications

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“…We observed an increase in the overall incidence of S. aureus infection, largely driven by an increase in community-associated non-invasive infections. Our finding of a significant increase in the incidence of hospitalizations for skin infections is in keeping with other recent studies in New Zealand [11,23,24], and further highlights this concerning national trend. Although reasons for this increase are unclear, suggested contributory factors include delayed access to healthcare, increases in household crowding and declining socioeconomic circumstances for specific population groups [23,24].…”

Section: Discussionsupporting

confidence: 92%

“…Our finding of a significant increase in the incidence of hospitalizations for skin infections is in keeping with other recent studies in New Zealand [11,23,24], and further highlights this concerning national trend. Although reasons for this increase are unclear, suggested contributory factors include delayed access to healthcare, increases in household crowding and declining socioeconomic circumstances for specific population groups [23,24]. However, in contrast to the increase in non-invasive infections, the incidence of invasive S. aureus infections decreased significantly over the study period from 102 to 73 per 100,000 population per year ( P < 0.001).…”

Section: Discussionsupporting

confidence: 92%

“…Based on previously described methodology, a list of ICD-10 codes for S. aureus -related clinical syndromes were developed (a detailed list of codes are shown in Additional file 1) [23-25]. These syndromes were: (i) skin and soft tissue infection (SSTI); (ii) musculoskeletal infection; (iii) respiratory infection; (iv) endovascular infection; (v) central nervous system infection, and (vi) sepsis/bacteremia.…”

Section: Methodsmentioning

confidence: 99%

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Incidence, trends and demographics of Staphylococcus aureus infections in Auckland, New Zealand, 2001–2011

et al. 2013

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BackgroundNew Zealand has a higher incidence of Staphylococcus aureus disease than other developed countries, with significant sociodemographic variation in incidence rates. In contrast to North America, the majority of disease is due to methicillin-susceptible S. aureus (MSSA), although relatively little is known about the comparative demographics of MSSA and methicillin-resistant S. aureus (MRSA) infections in New Zealand.MethodsOur objectives were to describe the trends, incidence and patient demographics of all S. aureus infections in patients presenting to our institution between 2001 and 2011, and compare the epidemiology of MSSA and MRSA infections. We identified all patients with S. aureus infections over the study period. A unique S. aureus infection was defined as the first positive S. aureus culture taken from the same patient within a thirty-day period. Standard definitions were used to classify episodes into community- or healthcare-associated S. aureus infection.ResultsThere were 16,249 S. aureus infections over the study period. The incidence increased significantly over the study period from 360 to 412 per 100,000 population (P < 0.001), largely driven by an increase in community-associated non-invasive MSSA infections. When compared with MSSA infections, patients with non-multiresistant MRSA infections were more likely to be older, have hospital-onset infections and be Māori or Pacific Peoples.ConclusionsOur work provides valuable baseline data on the epidemiology and trends of S. aureus infections in New Zealand. The significant increase in community-associated S. aureus infections is of public health importance. Future studies should investigate the reasons underlying this concerning trend.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

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Incidence, trends and demographics of Staphylococcus aureus infections in Auckland, New Zealand, 2001–2011

et al. 2013

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“…aureus is the commonest cause of cutaneous abscesses (116) confounding (143) were not able to be explored due to lack of data.…”

Section: Mrsa Isolate Antibiotic Sensitivitiesmentioning

confidence: 99%

“…Treatment for SSTIs is common in both ambulatory and hospital care (142) and recent increases in treatment for SSTIs, including in children have been reported from a number of countries (107,113,143) including Australia (117).…”

Section: Introductionmentioning

confidence: 99%

Community-Associated Meticillin Resistant Staphylococcus aureus: increased burden of infections in children and young people in Queensland and Australia

Vaska¹

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On race, human variation, and who gets and dies of sepsis

Brinkworth

Shaw

2022

American Journal of Biological Anthropology

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COVID‐19 has highlighted a brutal reality known for decades, that Black, Indigenous, and People of Color bear a disproportionate burden of US annual sepsis cases. While plentiful research funds have been spent investigating genetic reasons for racial disparities in sepsis, an abundance of research shows that sepsis incidence and mortality maps to indicators of colonial practices including residential segregation, economic and marginalization sepsis, and denial of care. Here we argue that sepsis risk is an immunological embodiment of racism in colonial states, that the factors contributing to sepsis disparities are insidious and systemic. We show that regardless of causative pathogen, or host ancestry, racialized people get and die of sepsis most frequently in a pattern repeatedly reiterated worldwide. Lastly, we argue that while alleviation of sepsis disparities requires radical, multiscale intervention, biological anthropologists have a responsibility in this crisis. While some of us can harness our expertise to take on the ground action in sepsis prevention, all of us can leverage our positions as the first point of contact for in depth human biology instruction on most college campuses. As a leading cause of death worldwide, and a syndrome that exhibits the interplay between human physiology, race and environment, sepsis is at the nexus of major themes in biological anthropology and is a natural fit for the field's curriculum. In adopting a discussion of race and sepsis in our courses, we not only develop new research areas but increase public awareness of both sepsis and the factors contributing to uneven sepsis burden.

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Increasing hospitalizations for serious skin infections in New Zealand children, 1990–2007

Cited by 30 publications

References 19 publications

Incidence, trends and demographics of Staphylococcus aureus infections in Auckland, New Zealand, 2001–2011

Incidence, trends and demographics of Staphylococcus aureus infections in Auckland, New Zealand, 2001–2011

Community-Associated Meticillin Resistant Staphylococcus aureus: increased burden of infections in children and young people in Queensland and Australia

On race, human variation, and who gets and dies of sepsis

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