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15 June 2008

Volume 46, Number 12
Clinical Infectious Diseases 2008;46:1871–1878
© 2008 by the Infectious Diseases Society of America. All rights reserved.
1058-4838/2008/4612-0010$15.00
DOI: 10.1086/588301
REVIEW ARTICLE

Global Implications of the Emergence of Community‐Associated Methicillin‐Resistant Staphylococcus aureus in Indigenous Populations

Steven Y. C. Tong,1,2

Malcolm I. McDonald,1

Deborah C. Holt,1 and

Bart J. Currie1,2

1Menzies School of Health Research, Charles Darwin University, and 2Northern Territory Clinical School, Royal Darwin Hospital, Darwin, Australia

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.

Received 1 December 2007; accepted 23 January 2008; electronically electronically published 6 May 2008.

Reprints or correspondence: Dr. Steven Tong, Menzies School of Health Research, PO Box 41096, Casuarina, NT, 0811 Australia ().

Cited by

Steven Y. C. Tong, Emma J. Bishop, Rachael A. Lilliebridge, Allen C. Cheng, Zornitsa Spasova‐Penkova, Deborah C. Holt, Philip M. Giffard, Malcolm I. McDonald, Bart J. Currie, and Craig S. Boutlis. (2009) Community‐Associated Strains of Methicillin‐Resistant Staphylococcus aureus and Methicillin‐Susceptible S. aureus in Indigenous Northern Australia: Epidemiology and Outcomes. The Journal of Infectious Diseases 199:10, 1461-1470
Online publication date: 15-May-2009.
Abstract-Full Text-PDF Version (292 kB)
John D. Turnidge. (2009) High Burden of Staphylococcal Disease in Indigenous Communities. The Journal of Infectious Diseases 199:10, 1416-1418
Online publication date: 15-May-2009.
Citation-Full Text-PDF Version (49 kB)
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