Skin infections among Indigenous Australians in an urban setting in far North Queensland

Valery, Patricia C., Wenitong, M., Clements, V., Sheel, M., McMillan, D., Stirling, J., Sriprakash, K., Batzloff, M., Vohra, R. and McCarthy, James S. (2008) Skin infections among Indigenous Australians in an urban setting in far North Queensland. Epidemiology and Infection, 136 8: 1103-1108. doi:10.1017/S0950268807009740

Author Valery, Patricia C.
Wenitong, M.
Clements, V.
Sheel, M.
McMillan, D.
Stirling, J.
Sriprakash, K.
Batzloff, M.
Vohra, R.
McCarthy, James S.
Title Skin infections among Indigenous Australians in an urban setting in far North Queensland
Journal name Epidemiology and Infection   Check publisher's open access policy
ISSN 0950-2688
Publication date 2008-01-01
Year available 2008
Sub-type Article (original research)
DOI 10.1017/S0950268807009740
Open Access Status DOI
Volume 136
Issue 8
Start page 1103
End page 1108
Total pages 6
Editor Norman Noah
Place of publication Cambridge, U.K.
Publisher Cambridge University Press
Language eng
Subject C1
920399 Indigenous Health not elsewhere classified
111701 Aboriginal and Torres Strait Islander Health
Abstract Skin infections are highly prevalent in many Australian Aboriginal communities. This study aimed to determine the prevalence of group A streptococcus (GAS) and Staphylococcus aureus in skin sores of Indigenous people living in an urban setting. We undertook a cross-sectional study of 173 children and youths attending the Wuchopperen Clinic (Cairns) for treatment of skin infections. Participants were interviewed using a structured questionnaire, and a skin lesion swab obtained. The median age was 5.3 years, with 42% identifying themselves as Torres Strait Islanders and 34% as Aboriginal. Impetigo (65%) was the most frequent diagnosis reported followed by scabies (19%); 79% of the lesions had erythema and 70% had exudate. Of 118 lesions, 114 were positive for pathogenic bacteria, with GAS isolated in 84 cases and S. aureus in 92; both these species were recovered from 63 lesions. Significant diversity of emm-types of GAS was associated with skin lesions in Indigenous patients (22 emm-types identified). Fifteen of the 92 S. aureus isolates were suggestive of being community-acquired on the basis of antimicrobial susceptibility profile and nine of these strains were co-cultured from nine lesions. These results have implications for future changes of antibiotic policies for the treatment of skin infections in this population.
Q-Index Code C1
Q-Index Status Confirmed Code

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Created: Tue, 31 Mar 2009, 23:42:49 EST by Geraldine Fitzgerald on behalf of School of Public Health