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01-04-2012 | Original Paper

Community Associated Methicillin Resistant Staphylococcus aureus Among New York City Men Who have Sex with Men: Qualitative Research Findings and Implications for Public Health Practice

Authors: Gabriel R. Galindo, Amber J. Casey, Alice Yeung, Don Weiss, Melissa A. Marx

Published in: Journal of Community Health | Issue 2/2012

Abstract

Academic literature has recorded increased microbial resistance in the United States and recent news media has adversely portrayed men who have sex with men (MSM) at increased risk for community associated methicillin resistant Staphylococcus aureus (CA-MRSA) transmission. CA-MRSA is a specific type of bacteria resistant to certain antibiotics, which limits treatment options for those needing clinical care. Infection can manifest as painful abscesses and can cause severe illness. With increased CA-MRSA infections overall, and attention given to MSM populations regarding CA-MRSA, as well as the fact that limited data on sociocultural factors that may facilitate transmission, we undertook a qualitative study to explore contextual influences that may fuel infection among MSM in New York City so that public health professionals can better recognize, and respond appropriately to, potential future outbreaks. In-depth interviews were used to qualitatively investigate perceptions and beliefs regarding transmission, as well as community understandings of treatment options. Participants included thirteen MSM who reported a previous CA-MRSA infection and nine community practitioners. A thematic content analysis of these interviews was conducted and data suggests that behaviors and exposures associated with transmission of CA-MRSA are common in certain MSM networks. Specifically, sociocultural influences and methamphetamine use activities were found to contribute to CA-MRSA transmission. We underscore the role of public health and health services practitioners in providing appropriate CA-MRSA awareness and education to MSM populations.

David, M. Z., & Daum, R. S. (2010). Community-associated methicillin-resistant Staphylococcus aureus: Epidemiology and clinical consequences of an emerging epidemic. Clinical Microbiology Reviews, 23(3), 616–687.PubMedCrossRef

de Lencastre, H., Oliveira, D., & Tomasz, A. (2007). Antibiotic resistant Staphylococcus aureus: A paradigm of adaptive power. Current Opinion in Microbiology, 10(5), 428–435.PubMedCrossRef

Choi, C. S., Yin, C. S., Bakar, A. A., Sakewi, Z., Naing, N. N., & Jamal, F. (2006). Nasal carriage of Staphylococcus aureus among healthy adults. Journal of Microbiology, Immunology, and Infection, 39(6), 458–464.PubMed

Roberts, S., & Chambers, S. (2005). Diagnosis and management of Staphylococcus aureus infections of the skin and soft tissue. Internal Medicine Journal, 35(Suppl 2), S97–S105.PubMedCrossRef

Carleton, H. A., Diep, B. A., Charlebois, E. D., Sensabaugh, G. F., & Perdreau-Remington, F. (2004). Community-adapted methicillin-resistant Staphylococcus aureus (MRSA): Population dynamics of an expanding community reservoir of MRSA. Journal of InfectiousDiseases, 190(10), 1730–1738.CrossRef

Chambers, H. F., & Deleo, F. R. (2009). Waves of resistance: Staphylococcus aureus in the antibiotic era. Nature Reviews. Microbiology, 7(9), 629–641.PubMedCrossRef

Crum, N. F., Lee, R. U., Thornton, S. A., Stine, O. C., Wallace, M. R., Barrozo, C., et al. (2006). Fifteen-year study of the changing epidemiology of methicillin-resistant Staphylococcus aureus. The American Journal of Medicine, 119(11), 943–951.PubMedCrossRef

Schito, G. C. (2006). The importance of the development of antibiotic resistance in Staphylococcus aureus. Clinical Microbiology & Infection, 12(Suppl 1), 3–8.

Matouskova, I., & Janout, V. (2008). Current knowledge of methicillin-resistant Staphylococcus aureus and community-associated methicillin-resistant Staphylococcus aureus. Biomedical Papers-Olomouc, 152(2), 191–202.

10.

Hiramatsu, K., Cui, L., Kuroda, M., & Ito, T. (2001). The emergence and evolution of methicillin-resistant Staphylococcus aureus. Trends in Microbiology, 9(10), 486–493.PubMedCrossRef

11.

Enright, M. C., Robinson, D. A., Randle, G., Feil, E. J., Grundmann, H., & Spratt, B. G. (2002). The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA). Proceedings of the National Academy of Sciences of the United States of America, 99(11), 7687–7692.PubMedCrossRef

12.

McCarthy, N. L., Sullivan, P. S., Gaynes, R., & Rimland, D. (2010). Health care-associated and community-associated methicillin-resistant Staphylococcus aureus infections: A comparison of definitions. American Journal of Infection Control, 38(8), 600–606.PubMedCrossRef

13.

Barton, M., Hawkes, M., Moore, D., Conly, J., Nicolle, L., Allen, U., et al. (2006). Guidelines for the prevention and management of community-associated methicillin-resistant Staphylococcus aureus: A perspective for Canadian health care practitioners. The Canadian Journal of Infectious Diseases & Medical Microbiology, 17(suppl C), 4C–24C.

14.

Centers for Disease Control and Prevention. (2009). CA-MRSA: Clinician FAQs ^| CDC infection control in healthcare. Available at: http://www.cdc.gov/ncidod/dhqp/ar_mrsa_ca_clinicians.html. Accessed April 14, 2011.

15.

Farley, J. E. (2008). Epidemiology, clinical manifestations, and treatment options for skin and soft tissue infection caused by community-acquired methicillin-resistant Staphylococcus aureus. Journal of the American Academy of Nurse Practitioner, 20(2), 85–92.CrossRef

16.

New York City Department of Health and Mental Hygiene. (2007). Health department proposes measure to require reporting of resistant staph infection in NYC. Available at: http://www.nyc.gov/html/doh/downloads/pdf/public/notice-statement-hc-art11-03-1007.pdf. Accessed April 14, 2011.

17.

Centers for Disease Control and Prevention. (2010). Methicillin-resistant Staphylococcus aureus (MRSA) infections. Available at: http://www.cdc.gov/mrsa. Accessed April 14, 2011.

18.

Gardam, M. A. (2000). Is methicillin-resistant Staphylococcus aureus an emerging community pathogen? A review of the literature. The Canadian Journal of Infectious Diseases, 11(4), 202–211.PubMed

19.

King, M. D., Humphrey, B. J., Wang, Y. F., Kourbatova, E. V., Ray, S. M., & Blumberg, H. M. (2006). Emergence of community-acquired methicillin-resistant Staphylococcus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections. Annals of Internal Medicine, 144(5), 309–317.PubMed

20.

Klevens, R. M., Morrison, M. A., Nadle, J., Petit, S., Gershman, K., Ray, S., et al. (2007). Invasive methicillin-resistant Staphylococcus aureus infections in the United States. The Journal of American Medical Association, 298(15), 1763–1771.CrossRef

21.

Antoniou, T., Devlin, R., Gough, K., Mulvey, M., Katz, K. C., Zehtabchi, M., et al. (2009). Prevalence of community-associated methicillin-resistant Staphylococcus aureus colonization in men who have sex with men. International Journal of STD and AIDS, 20(3), 180–183.PubMedCrossRef

22.

Shastry, L., Rahimian, J., & Lascher, S. (2007). Community-associated methicillin-resistant Staphylococcus aureus skin and soft tissue infections in men who have sex with men in New York City. Archives of Internal Medicine, 167(8), 854–857.PubMedCrossRef

23.

Lee, N. E., Taylor, M. M., Bancroft, E., Ruane, P. J., Morgan, M., McCoy, L., et al. (2005). Risk factors for community-associated methicillin-resistant Staphylococcus aureus skin infections among HIV-positive men who have sex with men. Clinical Infectious Diseases, 40(10), 1529–1534.PubMedCrossRef

24.

Eaton, L. A., Kalichman, S. C., Cain, D. N., Cherry, C., Stearns, H. L., Amaral, C. M., et al. (2007). Serosorting sexual partners and risk for HIV among men who have sex with men. American Journal of Preventive Medicine, 33(6), 479–485.PubMedCrossRef

25.

Parsons, J. T., Severino, J., Nanin, J., Punzalan, J. C., von Sternberg, K., Missildine, W., et al. (2006). Positive, negative, unknown: Assumptions of HIV status among HIV-positive men who have sex with men. AIDS Education and Prevention, 18(2), 139–149.PubMedCrossRef

26.

Diep, B. A., Chambers, H. F., Graber, C. J., Szumowski, J. D., Miller, L. G., Han, L. L., et al. (2008). Emergence of multidrug-resistant, community-associated, methicillin-resistant Staphylococcus aureus clone USA300 in men who have sex with men. Annals of Internal Medicine, 148(4), 249–257.PubMed

27.

Marx, M. A., Cook, H., Rehana, Z., Krieger, D., Yeung, A., Lue, Y., et al. (2008). Results of a case-control investigation of risk factors for CA–CA-MRSA in New York City, 2005–2007. In Annual conference on antimicrobial resistance, 2008, Bethesda, MD.

28.

Galindo, G. R., & Whitcher, A. J. (2010). Networks of transmission: Exploring methicillin resistant Staphylococcus aureus among New York City men who have sex with men. Oral presentation at annual meeting of the American Public Health Association. Denver, CO.

29.

Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd ed.). Newbury Park, CA: Sage.

30.

Muhr, T. (1997). Atlas.ti for Windows. Berlin: Scientific Software Development.

31.

Meredith, C. W., Jaffe, C., Ang-Lee, K., & Saxon, A. J. (2005). Implications of chronic methamphetamine use: A literature review. Harvard Review of Psychiatry, 13(3), 141–154.PubMedCrossRef

32.

Halkitis, P. N., Moeller, R. W., Siconolfi, D. E., Jerome, R. C., Rogers, M., & Schillinger, J. (2008). Methamphetamine and poly-substance use among gym-attending men who have sex with men in New York City. Annals of Behavioral Medicine, 35(1), 41–48.PubMed

33.

Smith, A. M., Grierson, J., Wain, D., Pitts, M., & Pattison, P. (2004). Associations between the sexual behaviour of men who have sex with men and the structure and composition of their social networks. Sexually Transmitted Infections, 80(6), 455–458.PubMedCrossRef

34.

Shoptaw, S., & Reback, C. J. (2007). Methamphetamine use and infectious disease-related behaviors in men who have sex with men: Implications for interventions. Addiction, 102(s1), 130–135.PubMedCrossRef

35.

Ciccarone, R. M., Kim, M., Tice, A. D., Nakata, M., Effler, P., Jernigan, D. B., et al. (2010). Prevention of community-associated methicillin-resistant Staphylococcus aureus infection among Asian/Pacific Islanders: A qualitative assessment. Hawaii Medical Journal, 69(6), 142–144.PubMed

36.

Hersh, A. L., Cabana, M. D., Gonzales, R., Shenkin, B. N., & Cho, C. S. (2009). Pediatricians’ perspectives on the impact of MRSA in primary care: A qualitative study. BMC Pediatrics, 9, 27.PubMedCrossRef

37.

Kassem, I. I. (2002). Chinks in the armor: The role of the nonclinical environment in the transmission of Staphylococcus bacteria. American Journal of Infection Control 2011 Apr 20 [Epub ahead of print].

38.

Hawkes, M., Barton, M., Conly, J., Nicolle, L., Barry, C., & Ford-Jones, E. L. (2007). Community-associated MRSA: Superbug at our doorstep. Canadian Medical Association Journal, 176(1), 54.PubMedCrossRef

39.

Newsweek. (2008). A new ‘Gay Disease’? A drug-resistant strain of staph is infecting some gay men, but experts say a lot of the media coverage got it wrong. Available at: http://www.newsweek.com/2008/01/17/a-new-gay-disease.html. Accessed April 14, 2011.

40.

Centers for Disease Control and Prevention. (2010). Methicillin-resistant Staphylococcus aureus (MRSA). At: http://www.cdc.gov/ncidod/dhqp/ar_mrsa_ca_public.html (no longer available). Accessed April 24, 2010.

41.

Los Angeles County Department of Public Health. (2005). Community associated methicillin-resistant Staphylococcus aureus: An emerging infectious disease in Los Angeles County. Available at: http://www.publichealth.lacounty.gov/acd/docs/MRSA-TPHJulAug05.pdf. Accessed July 19, 2011.

42.

New York City Department of Health and Mental Hygiene. (2010). MRSA skin infection: Gay men. Available at: http://www.nyc.gov/html/doh/mrsa/html/info/gay_men.shtml. Accessed July 19, 2011.

43.

Seattle and King County Public Health. (2008). Methicillin-resistant S. aureus (MRSA). Available at: http://www.kingcounty.gov/healthservices/health/communicable/diseases/MRSA-English.aspx. Accessed July 19, 2011.

Title: Community Associated Methicillin Resistant Staphylococcus aureus Among New York City Men Who have Sex with Men: Qualitative Research Findings and Implications for Public Health Practice
Authors: Gabriel R. Galindo
Amber J. Casey
Alice Yeung
Don Weiss
Melissa A. Marx
Publication date: 01-04-2012
Publisher: Springer US
Published in: Journal of Community Health / Issue 2/2012
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-011-9463-6

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Community Associated Methicillin Resistant Staphylococcus aureus Among New York City Men Who have Sex with Men: Qualitative Research Findings and Implications for Public Health Practice

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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