Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Volume 13, Number 11—November 2007

Research

Methamphetamine Use and Methicillin-Resistant Staphylococcus aureus Skin Infections

Adam L. Cohen*Comments to Author , Carrie Shuler*†, Sigrid McAllister*, Gregory E. Fosheim*, Michael G. Brown‡, Debra Abercrombie§, Karen Anderson*, Linda K. McDougal*, Cherie L. Drenzek†, Katie Arnold†, Daniel Jernigan*, and Rachel Gorwitz*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †Georgia Division of Public Health, Atlanta, Georgia, USA; ‡Kennestone Hospital, Marietta, Georgia, USA; §Northwest Georgia Health District 1–1, Rome, Georgia, USA;

Main Article

Table 2

Risk factors for MRSA skin and soft tissue infection*

Risk factors Case-patients, no. (%) Controls, 
no. (%) Crude OR (95% CI) Adjusted OR† (95% CI)
Drug use and medical history
Recent skin infection‡ 34 (42.0) 22 (7.8) 8.41 (4.54–15.59) 7.92 (4.10–15.28)
Recent methamphetamine use‡ 8 (9.9) 5 (1.8) 5.64 (1.80–17.69) 5.10 (1.55–16.79)
Antimicrobial agents within 6 months 40 (49.4) 114 (40.1) 1.43 (0.87–2.34) 1.52 (0.89–2.60)
Recent hospitalization, surgery, or dialysis‡ 8 (9.9) 27 (9.5) 1.06 (0.46–2.44) 1.24 (0.51–2.97)
Diabetes 10 (12.4) 23 (8.1) 1.61 (0.73–3.57) 2.03 (0.83–4.98)
Liver disease
1 (1.2)
9 (3.2)
0.38 (0.05–3.07)
0.59 (0.70–4.91)
Contact exposure
Household contact with someone with skin
infection 21 (25.9) 27 (9.5) 3.26 (1.72–6.17) 3.19 (1.58–6.48)
Crowding (>1 person/bedroom) 44 (54.3) 111 (39.1) 2.06 (1.22–3.45) 1.78 (1.004–3.15)§
Recent sexual contact‡ 48 (59.3) 182 (64.1) 0.85 (0.51–1.42) 0.68 (0.38–1.22)
Recent sexual contact with someone with
skin infection‡ 7 (8.6) 6 (2.1) 4.28 (1.40–13.08) 5.42 (1.68–17.50)
Recent contact sports‡ 9 (11.1) 11 (3.9) 2.92 (1.17–7.31) 1.37 (0.47–4.03)
Recent jail‡
4 (4.9)
9 (3.2)
1.46 (0.44–4.90)
1.75 (0.48–6.42)
Hygiene practices
Frequent skin picking 17 (20.1) 24 (8.5) 2.77 (1.40–5.47) 2.53 (1.22–5.23)
Bathe less than daily 5 (6.2) 31 (10.9) 0.50 (0.19–1.34) 0.56 (0.19–1.67)

*MRSA, methicillin-resistant Staphylococcus aureus; OR, odds ratio; CI, confidence interval.
†All models are adjusted for age, sex, race, and methamphetamine use, except the model for methamphetamine use, which is adjusted only for age, sex, and race.
‡Recent = within the 3 months prior to survey.
§p = 0.048.

Main Article

TOP