{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T09:55:31Z","timestamp":1764842131221},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T00:00:00Z","timestamp":1535587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Methicillin\u2010resistant <jats:styled-content style=\"fixed-case\"><jats:italic>Staphylococcus aureus<\/jats:italic><\/jats:styled-content> (MRSA) skin and soft tissue infections (SSTIs) are problematic for incarcerated adolescents but have not been previously researched.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a 2\u2010year prospective study of all New South Wales Juvenile Custodial Centres involving incarcerated youth aged 12\u201320\u2009years. The main outcomes measured were MRSA SSTIs, MRSA molecular subtypes and associations with MRSA infection. Variables included age, gender, SSTI site and type, Indigenous status, incarceration time, lifetime incarcerations, intravenous drug use, overweight\/obesity, recent antibiotic use and health centre presentations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From February 2013 to January 2015, there were 77 SSTIs (92.2% male, 59.2% Indigenous, mean age 16.9 years). The majority (77.9%) were collections, mostly on the lower limb (44.2%), and 33 (42.9%) isolates were MRSA; 94% were Panton\u2013Valentine leukocidin positive. This represents 11 SSTIs per 1000 custodial admissions, and 4.7 MRSA SSTIs per 1000 custodial admissions. Independent associations with MRSA SSTI (vs. non\u2010MRSA SSTI) were Indigenous status (adjusted odds ratio (AOR) 5.92, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), presenting with a collection (AOR 18.29, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and recent antibiotic use (AOR 3.62, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incarcerated Australian youth have high rates of MRSA SSTIs, comparable to rates in US adult inmates, but with different molecular subtypes. At particular risk of MRSA infection are Indigenous youth, those with recent antibiotic use and those presenting with a collection. Many MRSA infections present at custodial admission, making surveillance and containment important, along with avoidance of unnecessary antibiotics and hand hygiene. Panton\u2013Valentine leukocidin\u2010positive MRSA predominates and is known for causing flu\u2010associated necrotising pneumonia. Albeit a rare outcome, the seasonal influenza vaccination should be mandatory for youth in custody and custodial staff.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14188","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T20:19:53Z","timestamp":1535660393000},"page":"224-228","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Methicillin\u2010resistant <scp><i>Staphylococcus aureus<\/i><\/scp> skin and soft tissue infections in young people in custody in New South Wales"],"prefix":"10.1111","volume":"55","author":[{"given":"Leigh","family":"Haysom","sequence":"first","affiliation":[{"name":"Adolescent Health Justice Health and Forensic Mental Health Network  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Cross","sequence":"additional","affiliation":[{"name":"Health Studies Unit Macquarie University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Anastasas","sequence":"additional","affiliation":[{"name":"Health Studies Unit Macquarie University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Hampton","sequence":"additional","affiliation":[{"name":"Adolescent Health Justice Health and Forensic Mental Health Network  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn","family":"Harris","sequence":"additional","affiliation":[{"name":"Adolescent Health Justice Health and Forensic Mental Health Network  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberley","family":"Sneddon","sequence":"additional","affiliation":[{"name":"Adolescent Health Justice Health and Forensic Mental Health Network  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61999-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00081-09"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)70112-2"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07877-7"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrmicro2200-c1"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1086\/657067"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078345818765271"},{"key":"e_1_2_6_9_1","volume-title":"2009 NSW Young People in Custody Health Survey: Full Report","author":"Indig D","year":"2011"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01625-12"},{"key":"e_1_2_6_11_1","unstructured":"Federal Bureau of Prisons.Clinical Practice Guidelines for the Management of Methicillin\u2010Resistant Staphylococcus aureus (MRSA) Infections.Washington DC: US Department of Justice Federal Bureau of Prisons;2005. 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