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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)

Main Article

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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Page created: March 13, 2013
Page updated: March 13, 2013
Page reviewed: March 13, 2013
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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