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Geographic surveillance of community associated MRSA infections in children using electronic health record data

BMC Infectious Diseases Feb 21, 2019

Immergluck LC, et al. - Researchers investigated the possible utility of geocoded electronic health record (EHR) and spatial analyses in identifying risks for community- associated methicillin resistant Staphylococcus aureus (CA-MRSA) in children, which are tied to place-based determinants and would not be uncovered using traditional EHR data analyses. This epidemiology study of children who were treated for Staphylococcus aureus infections from January 1, 2002 through December 31, 2010 revealed a higher rate of increase in CA-MRSA compared non-resistant forms. The risk for CA-MRSA was identified to be correlated with neighborhood-level measures of racial composition, household crowding, and age of children in the Atlanta MSA. The greatest risk was evident in neighborhoods which have a greater proportion of blacks, household crowding, and children < 4 years of age. For dealing with the growing numbers and spread of infections like CA-MRSA, they suggest enhancing the information regarding spatial relationship at a community level and how it relates to risks for antibiotic-resistant infections, as significant.
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