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Epidemiology of skin infections in Auckland, New Zealand

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Summary:

An analysis of skin swab culture results identified groups that are more likely to test positive for Streptococcal pyogenes (S. pyogenes). Over one-quarter of Auckland’s population were tested for suspected skin infections in primary care over the period 2010 to 2020. S. pyogenes infection rates were 3.1 (95% confidence interval [CI] 3.1-3.2) times higher for individuals aged <10 vs ≥10 years, 4.7 (95% CI 4.6-4.8) times higher for Māori or Pacific vs European/Other individuals, and 2.1 (95% CI 1.9-2.3) times higher for individuals in lower vs higher socioeconomic areas. Staphylococcus aureus (S. aureus) infection was found across all demographic groups. Individuals who tested positive for S. aureus were 2.1 (95% CI 1.9-2.3) times as likely to also test positive for S. pyogenes.

Comment:
Reference: N Z Med J. 2025;138(1609):56-69.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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