TY - JOUR T1 - ONe-year surveillance of methicillin-resistant staphylococcus aureus nasal colonization and skin and soft tissue infections in collegiate athletes AU - Creech C, Saye E, McKenna BD, et al Y1 - 2010/07/01 N1 - 10.1001/archpediatrics.2010.93 JO - Archives of Pediatrics & Adolescent Medicine SP - 615 EP - 620 VL - 164 IS - 7 N2 - Objective  To determine the frequency and clinical importance of methicillin-resistant Staphylococcus aureus (MRSA) colonization in student athletes.Design  Prospective observational cohort study.Setting  A major university in the southeastern United States.Participants  Student athletes participating in the men's football and women's lacrosse programs (N = 126).Main Exposure  Monthly assessment of S aureus nasal colonization.Main Outcome Measures  Trends in S aureus colonization over time and the occurrence of skin and soft tissue infections.Results  Methicillin-resistant S aureus nasal colonization varied significantly through the athletic season (4%-23%), peaking during times of highest athletic activity. This increase in colonization was not associated with the development of an outbreak of skin and soft tissue infections, and no single MRSA clone emerged as a dominant isolate.Conclusions  During the athletic season, there is a considerable burden of MRSA colonization in student athletes; however, colonization alone appears to be insufficient to trigger an outbreak of staphylococcal infections. A combination of distinct molecular characteristics in the organism and specific host factors may govern the development of staphylococcal disease. SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2010.93 UR - http://dx.doi.org/10.1001/archpediatrics.2010.93 ER -