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Volume 19, Number 4—April 2013

Research

Methicillin-Resistant Staphylococcus aureus Colonization of the Groin and Risk for Clinical Infection among HIV-infected Adults

Philip J. PetersComments to Author , John T. Brooks, Sigrid K. McAllister, Brandi Limbago, H. Ken Lowery, Gregory Fosheim, Jodie L. Guest, Rachel J. Gorwitz, Monique Bethea, Jeffrey Hageman, Rondeen Mindley, Linda K. McDougal, and David Rimland
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (P.J. Peters, J.T. Brooks, S.K. McAllister, B. Limbago, G. Fosheim, R.J. Gorwitz, J. Hageman, L.K. McDougal); Veterans Affairs Medical Center, Atlanta (H.K. Lowery, J.L. Guest, M. Bethea, R. Mindley, D. Rimland); Emory University School of Medicine, Atlanta (D. Rimland)

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Table 2

Location of infection and preceding colonization status of 25 HIV-infected adults with MRSA clinical infection, Atlanta, Georgia, USA, 2007–2009*

Infection/
participant Infection location Clinical infection PFGE type Colonization status preceding clinical infection Colonizing PFGE type Second clinical infection
Skin and soft tissue infections in the groin
VA1 Buttock USA300 None
VA2 Buttock USA300 Nares and groin USA300
VA3 Buttock USA300 None
VA4 Perianal USA300 None
VA5 Perianal USA300 Nares and groin USA300
VA6 Pubic area USA300 Nares and groin USA300
VA7 Scrotum USA300 None
VA8 Thigh USA300 None
VA9 Hip USA500/Iberian Nares and groin USA500/Iberian
VA10 Rectum USA500/Iberian Nares and groin USA300 and USA500/Iberian 1 mo later: USA500/Iberian rectal infection
VA11 Buttock No specimen Groin only USA300
VA12
Buttock
No specimen
Nares and groin
USA300

Skin and soft tissue infections outside of the groin
VA13 Axilla USA300 Nares and groin USA300
VA14 Axilla USA300 Groin only USA300
VA15 Lip USA300 None
VA16 Lower extremity USA300 None
VA17 Lower extremity USA300 Nares and groin USA300 and USA100
VA18 Scalp USA300 Groin only USA300
VA19 Back USA500/Iberian Nares and groin USA500/Iberian
VA20 Scalp USA500/Iberian Nares and groin USA500/Iberian 12 mo later: USA500/Iberian decubitus ulcer infection
VA21
Scalp
No specimen
Nares and groin
USA300

Invasive clinical infections
VA22 Bloodstream USA500/Iberian Nares and groin USA500/Iberian
VA23 Bloodstream USA500/Iberian Nares and groin USA500/Iberian
VA24 Lung USA500/Iberian Nares and groin USA500/Iberian 6 mo later: USA500/Iberian pneumonia
VA25 Lung USA500/Iberian None 2 mo later: USA500/Iberian infection on foot

*MRSA, methicillin-resistant Staphylococcus aureus; PFGE, pulsed-field gel electrophoresis; –, not applicable because the participant was not colonized before their clinical infection.

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