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[Outbreak of skin infections due to Staphylococcus aureus carrying Panton-Valentine leukocidin genes in pupils and their relatives].
- Source :
-
Medecine et maladies infectieuses [Med Mal Infect] 2011 Jul; Vol. 41 (7), pp. 364-71. Date of Electronic Publication: 2011 Mar 31. - Publication Year :
- 2011
-
Abstract
- Objectives: The study objectives were to describe an outbreak of skin infections in school settings, caused by Staphylococcus aureus carrying Panton-Valentine leukocidin genes (Sa PVL(+)), over a 2-year period. Nasal colonization prevalence was assessed in families where new skin infections occurred, despite a prevention and control strategy.<br />Patients and Methods: A retrospective investigation of skin infections likely to be related to Sa and prospective monitoring and treatment of new infections occurring in pupils and their family members were implemented in October 2006, following the reporting of Sa PVL(+) abscesses and furuncles in a primary school. Additional nasal screening was performed in families where new skin infections occurred, after an initial systematic screening of Sa PVL(+) nasal carriers.<br />Results: On October 31, 2008, 53 patients, accounting for 30 households, had developed 69 skin infections, in four decreasing outbreaks. The cumulative incidence of a first skin infection was 34.6% in primary classes, 21.3% in nursery schools, and 6.5% in the pupils' family households. Several skin infections were reported in 13 households, and in one of them, all of the seven family members had developed at least one skin infection during follow-up. The estimated frequency of nasal colonization ranged from 14.1% to 19.5% according to successive nasal screenings.<br />Conclusion: Early reporting of skin infection clusters is necessary to reinforce the effectiveness of hygiene and prevention measures, and thus limit the risk of a long-lasting outbreak.<br /> (Copyright © 2011 Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Abscess epidemiology
Abscess microbiology
Adolescent
Adult
Carrier State epidemiology
Carrier State microbiology
Child
Child, Preschool
Contact Tracing
Family Health
Female
Folliculitis epidemiology
Folliculitis microbiology
France epidemiology
Furunculosis epidemiology
Furunculosis microbiology
Humans
Hygiene
Incidence
Infant
Male
Mass Screening
Middle Aged
Nasal Cavity microbiology
Retrospective Studies
Schools
Schools, Nursery
Staphylococcal Skin Infections microbiology
Staphylococcal Skin Infections prevention & control
Staphylococcal Skin Infections transmission
Staphylococcus aureus isolation & purification
Young Adult
Bacterial Toxins genetics
Disease Outbreaks
Exotoxins genetics
Leukocidins genetics
Staphylococcal Skin Infections epidemiology
Staphylococcus aureus genetics
Students statistics & numerical data
Subjects
Details
- Language :
- French
- ISSN :
- 1769-6690
- Volume :
- 41
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Medecine et maladies infectieuses
- Publication Type :
- Academic Journal
- Accession number :
- 21458179
- Full Text :
- https://doi.org/10.1016/j.medmal.2010.12.017