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Volume 14, Number 5—May 2008

Research

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

Andrew Hayward*Comments to Author , Felicity Knott*, Irene Petersen*, David M. Livermore†, Georgia Duckworth†, Amir Islam*, and Anne M. Johnson*
Author affiliations: *University College London Centre for Infectious Disease Epidemiology, London, UK; †Health Protection Agency, London, UK;

Main Article

Table 1

Comparison of trends in hospital admissions, England, 1989–90 to 2003–04*

Type of infection and ICD codes
No. admissions 
(age-standardized admission 
rate per 100,000 population)
Standardized admission ratios (95% CI)
Acute community-onset infections likely to be caused by staphylococci (ICD-9: ICD-10 codes) 1989–90 2003–04 2003–04 vs. 1989–90
Abscess, carbuncle, and furuncle and/or cellulitis 
 (6800–6811, 6819–6829: L02.0–L03.9) 23,884 (50.0) 74,447(148.8) 2.98 (2.96–3.00)
Bone and joint infection (7300–7309, 7110: M86.0–
 M86.6, M86.8, M86.9, M00.0–M00.2,M00.8,M00.9) 4,104 (8.9) 6,700 (13.4) 1.57 (1.53–1.60)
Staphylococcal septicemia (381: A41.0–A41.2) 249 (0.5) 1,681 (3.3) 6.39 (6.10–6.71)
Impetigo (684: L01.0,L01.1) 199 (0.4) 1,108 (2.5) 5.92 (5.58–6.28)
Staphylococcal pneumonia (4824: J15.2) 109 (0.2)
568 (1.2)

5.04 (4.64–5.47)

1995–96
2003–04
2003–04 vs. 1995–96
Cellulitis (NA: L03.0–L03.9) 24,388 (50.3) 49,980 (98.9) 1.97 (1.95–1.98)
Abscess, carbuncle, and furuncle (NA: L02.0–L02.9) 12,675 (26.1) 24,467 (49.3) 1.89 (1.86–1.91)
Staphylococcal scalded-skin syndrome (NA: L00.X)
149 (0.3)
747 (1.6)

5.27 (4.91–5.63)
Acute community-onset control conditions (ICD-9: ICD-10 codes)
1989–90
2003–04
2003–04 vs. 1989–90
Forearm fracture (8130–8135:S520–S529) 30,272 (63.2) 54,089(106.9) 1.69 (1.01–1.68)
Acute appendicitis (5400–5409, K35.0–K35.9) 30,946 (64.6) 30,324 (61.5) 0.95 (0.94–0.96)
Ingrown toenail (7030:L60.0) 16,606 (34.7) 11,182 (22.7) 0.65 (0.64–0.67)
Other septicemias (380–384, 388,389: A400–A409, 
 A414, A415, A418, A419 3,793 (7.9) 12,873 (24.9) 3.15 (3.10–3.20)
Gastroenteritis/diarrhea of presumed infectious origin 
 (91: A09.X) 8,416 (17.6) 6,528 (14.3) 0.81 (0.79–0.83)
Cholecystitis (5750: K81.0) 3,171 (6.6) 4,264 (8.3) 1.25 (1.21–1.28)
Conjunctivitis (3720–3724:H10.0–H10.9) 639 (1.3) 193 (0.3) 0.33 (0.29–0.38)
Viral pneumonia (4800–4809:J12.0–J12.9) 585 (1.2) 501 (1.1) 0.88 (0.81–0.96)
Erysipelas (35:A46.X) 373 (0.8) 357 (0.7) 0.89 (0.80–0.99)

*Years are financial years, April 1 to March 31. CI, confidence interval; ICD, International Classification of Diseases; NA, not available.

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