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  • Outbreak of community-acquired Staphylococcus aureus skin infections in an Australian professional football team

    Author(s)
    Shaban, Ramon Z
    Li, Cecilia
    O'Sullivan, Matthew VN
    Kok, Jen
    Dempsey, Kathy
    Ramsperger, Marc
    Brown, Mitchell
    Nahidi, Shizar
    Sotomayor-Castillo, Cristina
    Griffith University Author(s)
    Shaban, Ramon Z.
    Year published
    2020
    Metadata
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    Abstract
    OBJECTIVES: Skin and soft tissue infections commonly affect athletes and can lead to cluster outbreaks if not managed appropriately. We report the findings of an investigation into an outbreak of community-acquired Staphylococcus aureus infection in an Australian professional football team. DESIGN: Retrospective cross-sectional study. METHODS: Nose, axilla, groin and throat swab were collected from 47 participants. MRSA and MSSA isolates underwent antibiotic susceptibility testing, binary typing and whole genome sequencing. Infection control practitioners (ICPs) investigated the training grounds for risk factors in the ...
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    OBJECTIVES: Skin and soft tissue infections commonly affect athletes and can lead to cluster outbreaks if not managed appropriately. We report the findings of an investigation into an outbreak of community-acquired Staphylococcus aureus infection in an Australian professional football team. DESIGN: Retrospective cross-sectional study. METHODS: Nose, axilla, groin and throat swab were collected from 47 participants. MRSA and MSSA isolates underwent antibiotic susceptibility testing, binary typing and whole genome sequencing. Infection control practitioners (ICPs) investigated the training grounds for risk factors in the transmission of S. aureus. RESULTS: Almost half of the participants (n=23, 48.9%) were found to be colonised with MSSA. An outbreak cluster of MRSA ST5 closely related to the fusidic acid-resistant New Zealand NZAK3 clone was identified in a group of four players. MSSA ST15 and MSSA ST291 strains were found to have colonised and spread between two and five players, respectively. All participants were advised to undergo decolonisation treatment consisting of 4% chlorhexidine body wash and mupirocin nasal ointment for ten days. The ICP team identified several unhygienic practices within the club's shared facilities that may have played a role in the transmission of S. aureus. CONCLUSIONS: We report for the first time a community-associated S. aureus outbreak involving the highly successful fusidic acid-resistant MRSA ST5 clone in a professional football club associated with inadequate hygiene procedures. Management and prevention of S. aureus relies heavily on hygiene education and adherence to personal and environmental hygiene practices and policies.
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    Journal Title
    Journal of Science and Medicine in Sport
    DOI
    https://doi.org/10.1016/j.jsams.2020.11.006
    Note
    This publication has been entered as an advanced online version in Griffith Research Online.
    Subject
    Sports science and exercise
    Medical physiology
    Health services and systems
    Public health
    Fusidic acid-resistance
    Hygiene
    Infection prevention and control
    MRSA ST5
    Methicillin-resistantStaphylococcus aureus
    Publication URI
    http://hdl.handle.net/10072/400320
    Collection
    • Journal articles

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