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Volume 16, Number 3—March 2010

Dispatch

Increasing Skin Infections and Staphylococcus aureus Complications in Children, England, 1997–2006

Sonia SaxenaComments to Author , Paula Thompson, Ruthie Birger, Alex Bottle, Nikos Spyridis, Ian Wong, Alan P. Johnson, Ruth Gilbert, Mike Sharland, and on behalf of improving Children’s Antibiotic Prescribing Group
Author affiliations: Imperial College London, London, UK (S. Saxena, R. Birger, A. Bottle); School of Pharmacy, London (P. Thompson, I. Wong); St. George's Hospital National Health Service Trust, London (N. Spyridis); Health Protection Agency, London (A.P. Johnson, M. Sharland); University College London Institute of Child Health, London (R. Gilbert)

Main Article

Table 2

Age- and sex-adjusted hospital admission rates for skin, bone, and joint infections in children <18 years of age, England, 1997–2006*

Year Rate/100,000 child-years (95% CI)
All skin, bone, and joint infections Cutaneous abscesses
and boils Cellulitis Osteomyelitis Septic arthritis
1997 53.38 (52.07–54.70) 25.19 (24.29–26.10) 19.81 (19.01–20.61) 4.81 (4.42–5.21) 3.57 (3.23–3.91)
1998 57.99 (56.62–59.36) 27.37 (26.43–28.32) 22.24 (21.39–23.09) 4.82 (4.43–5.22) 3.55 (3.21–3.89)
1999 61.34 (59.93–62.75) 28.86 (27.89–29.82) 23.63 (22.75–24.50) 5.24 (4.82–5.65) 3.62 (3.28–3.96)
2000 64.95 (63.49–66.41) 28.94 (27.97–29.91) 26.48 (25.55–27.41) 5.70 (5.27–6.14) 3.83 (3.47–4.18)
2001 61.99 (60.56–63.41) 28.02 (27.06–28.98) 25.25 (24.34–26.16) 5.55 (5.12–5.97) 3.17 (2.85–3.50)
2002 63.65 (62.20–65.09) 29.65 (28.66–30.64) 25.01 (24.11–25.92) 5.45 (5.02–5.87) 3.54 (3.19–3.88)
2003 71.15 (69.62–72.68) 32.71 (31.68–33.75) 29.26 (28.27–30.24) 5.39 (4.97–5.81) 3.79 (3.43–4.14)
2004 73.66 (72.11–75.22) 32.98 (31.94–34.02) 30.63 (29.63–31.64) 6.11 (5.66–6.56) 3.94 (3.58–4.30)
2005 76.26 (74.67–77.84) 35.17 (34.10–36.25) 32.03 (31.00–33.05) 5.63 (5.20–6.07) 3.43 (3.09–3.76)
2006 79.28 (77.66–80.89) 34.43 (33.37–35.49) 33.23 (32.18–34.28) 7.04 (6.55–7.52) 4.58 (4.19–4.97)
p value† <0.001 <0.001 <0.001 0.004 0.128

*Data from Hospital Episode Statistics. Rates directly adjusted to mid-year 2000 resident population for England. International Classification of Diseases, Tenth Revision, codes for primary diagnosis at admission: cutaneous abscesses and boils, L02; cellulitis, L03; osteomyelitis, M86; septic arthritis (staphylococcal arthritis, M00.0, or pyogenic arthritis, M00.9). All of these codes were included in the category “all skin, bone, and joint infections.” CI, confidence interval.
†p value for test for linear trend across years.

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