TY - JOUR AU - Van De Griend, Philip AU - Herwaldt, Loreen AU - Alvis, Bret AU - DeMartino, Mary AU - Heilmann, Kristopher AU - Doern, Gary AU - Winokur, Patricia AU - Vonstein, Diana DeSalvo AU - Diekema, Daniel T1 - Community-Associated Methicillin-Resistant Staphylococcus aureus, Iowa, USA T2 - Emerging Infectious Disease journal PY - 2009 VL - 15 IS - 10 SP - 1582 SN - 1080-6059 AB - We performed antimicrobial drug susceptibility testing and molecular typing on invasive methicillin-resistant Staphylococcus aureus (MRSA) isolates (n = 1,666) submitted to the University of Iowa Hygienic Laboratory during 1999–2006 as part of a statewide surveillance system. All USA300 and USA400 isolates were resistant to <3 non–β-lactam antimicrobial drug classes. The proportion of MRSA isolates from invasive infections that were either USA300 or USA400 increased significantly from 1999–2005 through 2006 (p<0.0001). During 2006, the incidence of invasive community-associated (CA)–MRSA infections was highest in the summer (p = 0.0004). Age <69 years was associated with an increased risk for invasive CA-MRSA infection (odds ratio [OR] 5.1, 95% confidence interval [CI] 2.06–12.64), and hospital exposure was associated with decreased risk (OR 0.07, 95% CI 0.01–0.51). KW - Methicillin-resistant Staphylococcus aureus infections KW - MRSA KW - community-associated MRSA KW - surveillance KW - bloodstream infection KW - Iowa KW - bacteria KW - Staphylococci KW - research KW - USA KW - United States DO - 10.3201/eid1510.080877 UR - https://wwwnc.cdc.gov/eid/article/15/10/08-0877_article ER - End of Reference