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Volume 19, Number 1—January 2013

CME ACTIVITY - Research

Staphylococcal Infections in Children, California, USA, 1985–2009

Kathleen GutierrezComments to Author , Meira S. Halpern, Clea Sarnquist, Shila Soni1, Anna Chen Arroyo, and Yvonne Maldonado
Author affiliations: Author affiliations: Stanford University School of Medicine, Stanford, California, USA

Main Article

Table 3

Staphylococcal infections in non-neonate children, by onset location, California, 1996–2009*

Variable All, N = 66,141 CO CO-HCA HO
% of all records
100
48
41
11
Overall incidence, no./100,000 population
49
24
20
5
Demographic data
Sex

M

56 46 42 12

F

44 51 39 10
Race

White

34 46 43 10

Black

10 51 39 10

Hispanic

46 48 40 11

Asian

6 49 38 12
Age at admission

31–91 d

6 52 33 16

92–365 d

16 57 32 11

1–2 y

21 58 34 9

3–5 y

12 41 49 10

6–9 y

12 41 49 10

0–13 y

14 42 47 11

14–17 y

19 43 45 12
Expected source of payment

Private insurance

39 48 41 11

Other†


61
48
41
11
Outcome

% Death

1.7 0.1 2.0 7.5

% Normal discharge

84.2 92 81 65

Mean (SE) LOS, d

12.5 (0.1) 5.3 (<0.1) 13.6 (0.1) 40.7 (0.5)

Median (interquartile range) LOS, d


6 (3–13)
4 (3–6)
8 (4–15)
28 (15–51)
Infection category and type

Staphylococcal infection category

Uncomplicated‡

79 91 71 61

Pneumonia

6 2 8 11

Septicemia

13 5 19 25

Complicated§

2 1 3 4

Type of staphylococcal infection

Unknown

11 8 13 14

Other than Staphylococcus aureus

19 10 25 37

MSSA

42 43 42 36

MRSA

29 40 20 13

*Data represent the association of particular attributes with the particular locations of infection onset: 1) first column, for demographic attributes and category/type of infection, data are the % of all the records; 2) columns 2–4, for demographic attributes, the data represent the distribution of an attribute among CO, CO-HCA, and HO onset cases; and 3) columns 2–4, for category/type of infection, data are the % of all the records with CO, CO-HCA, or HO onset. CO, community onset; CO-HCA, CO–health care associated; HO, hospital onset; LOS, length of stay in hospital; MSSA, methicillin-sensitive S. aureus; MRSA, methicillin-resistant S. aureus
†Medi-Cal, Medicare, other government sources, charity, and none.
‡No code for septicemia or pneumonia identified.
§>2 staphylococcal codes identified, including >1 code for septicemia or pneumonia.

Main Article

1Current affiliation: Foodia, San Francisco, California, USA.

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