Volume 16, Number 3—March 2010
Dispatch
Increasing Skin Infections and Staphylococcus aureus Complications in Children, England, 1997–2006
Sonia Saxena
, Paula Thompson, Ruthie Birger, Alex Bottle, Nikos Spyridis, Ian Wong, Alan P. Johnson, Ruth Gilbert, Mike Sharland, on behalf of improving Children’s Antibiotic Prescribing Group
, Paula Thompson, Ruthie Birger, Alex Bottle, Nikos Spyridis, Ian Wong, Alan P. Johnson, Ruth Gilbert, Mike Sharland, on behalf of improving Children’s Antibiotic Prescribing Group
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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