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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.

Page created: December 18, 2012
Page updated: December 18, 2012
Page reviewed: December 18, 2012
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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