Program Notes

CA-MRSA Definition
MRSA infection in person who does not have any recent healthcare exposures such as:

• Hospitalizations
• Surgeries
• Permanent intravenous lines
• Receiving renal dialysis
• Living in a long term care facility

CA-MRSA strains are:

• 9% of MRSA in Baltimore, Maryland
• 12% of MRSA in Minnesota
• 20% of MRSA in Georgia
• 30% of MRSA in Hawaii
• Disproportionately reported among children

CA-MRSA transmission factors

• Crowding
• Frequent contact
• Compromised skin
• Contaminated surfaces and shared items
• Lack of cleanliness

North Carolina MRSA Surveillance

• Sentinel site surveillance in 11 hospitals
• Non-traditional surveillance through anti-biograms

Populations at risk for CA-MRSA

• Sports participants: football players, wrestlers, fencers
• Correctional facility inmates
• Military recruits
• Men who have sex with men
• Injection drug users
• Children