Tong, Steven Y.C., Mcdonald, Malcolm I., Holt, Deborah C., and Currie, Bart J. (2008) Global implications of the emergence of community-associated methicillin-resistant Staphylococcus aureus in Indigenous populations. Clinical Infectious Diseases, 46 (12). pp. 1871-1878.

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Abstract

The emergence of community-associated methicillin-resistant Staphylococcus aureus (MRSA) in Australia may have been facilitated by conditions in socially disadvantaged populations—particularly, remote Australian Aboriginal communities. The appearance of community-associated MRSA was first noticed in Australia during the early 1980s; subsequently, several genetically diverse strains have independently emerged from geographically distinct regions. Molecular and epidemiological studies support the role of genetic transfer of resistance determinants (SCCmecIV) in this process. Conditions in Aboriginal communities—namely, domestic crowding, poor hygiene, and high rates of scabies, pyoderma, and antibiotic use—have facilitated both the clonal expansion and de novo emergence of strains of community-associated MRSA. Combating the worldwide emergence and spread of community-associated MRSA may require novel community-level control strategies targeted at specific groups, such as remote Indigenous populations.

Item ID:	36996
Item Type:	Article (Research - C1)
ISSN:	1537-6591
Funders:	Australian National Health and Medical Research Council (NHMRC), Australian National Heart Foundation (ANHF), Cooperative Research Centre for Aboriginal Health (CRCAH)
Date Deposited:	17 Mar 2016 00:07
FoR Codes:	11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110303 Clinical Microbiology @ 30% 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 40% 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 30%
SEO Codes:	92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 50% 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920503 Health Related to Specific Ethnic Groups @ 50%
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