Epidemiological aspects of the relationship between Infection and colonization by methicillin-resistant Staphylococcus aureus

被引:0
作者
Pareja Bezares, Antonio [1 ]
机构
[1] Hosp U Son Llatzer, Ctra Manacor, Palma De Mallorca 07198, Spain
来源
MEDICINA BALEAR | 2019年 / 34卷 / 02期
关键词
Methicillin-resistant Staphylococcus aureus; MRSA; wounds samples; respiratory samples; urine samples; nares colonization; cutaneous colonization; SURGICAL-SITE INFECTION; RISK-FACTORS; NASAL COLONIZATION; MRSA; CARRIAGE; DURATION; TRANSMISSION; PREVALENCE; BACTEREMIA; HOSPITALS;
D O I
10.3306/MEDICINABALEAR.34.02.13
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: Examine epidemiological aspects of the relationship infection-colonization by Methicillin Resistant Staphylococcus aureus (MRSA). Methods: MRSA incident cases at Son Llatzer Hospital in Palma during 10 years (January 2003 to December 2012). Study transversal descriptive. Principal variables: clinical sample where MRSA were isolated, nares or/and cutaneous colonization, age and sex. Univariate, bivariate and multivariate statistical analyses were undertaken. Results: 691 cases were studied, 688 with clinical samples. Mean age was 68.2 years (CI95%: 66.8-69.6), 417 men (60.3%). MRSA isolated in samples from wounds 46.7% and in respiratory 30.6%. 53.5% had nares colonization and 38.4% cutaneous. At the bivariate level, wounds and respiratory samples were associated to nares colonization. Urine samples were associated to cutaneous colonization. At the multivariate level, the variables that better explained the presence of MRSA in wound samples were to be men, over 65 years old and have nares colonization. For MRSA in respiratory samples were to be men over 65 years old and nares colonization. For MRSA in urine samples, to be over 65 years old and have cutaneous colonization. Conclusions: MRSA was mainly isolated in wound and respiratory samples. Nares colonization was the most frequent.
引用
收藏
页码:13 / 21
页数:9
相关论文
共 38 条
[11]  
Funuro JP, 2008, AM J INFECT CONTROL, V36, P468, DOI [10.1016/j.ajic.2008.01.003, 10.1016/j.ajic:2008.01.003]
[12]  
Gerberding J, 1999, AM J INFECT CONTROL, V27, P520
[13]   Origin and transmission of methicillin-resistant Staphylococcus aureus in an endemic situation: Differences between geriatric and intensive-care patients [J].
HoefnagelsSchuermans, A ;
Borremans, A ;
Peetermans, W ;
VanLierde, S ;
Reybrouck, G ;
VanEldere, J .
JOURNAL OF HOSPITAL INFECTION, 1997, 36 (03) :209-222
[14]   Risk of methicillin-resistant Staphylococcus aureus infection after previous infection or colonization [J].
Huang, SS ;
Platt, R .
CLINICAL INFECTIOUS DISEASES, 2003, 36 (03) :281-285
[15]   Risk of methicillin-resistant Staphylococcus aureus surgical site infection in patients with nasal MRSA colonization [J].
Kalra, Lalit ;
Camacho, Fabian ;
Whitener, Cynthia J. ;
Du, Ping ;
Miller, Margaret ;
Zalonis, Crystal ;
Julian, Kathleen G. .
AMERICAN JOURNAL OF INFECTION CONTROL, 2013, 41 (12) :1253-1257
[16]   Risk Factors of Methicillin-Resistant Staphylococcus aureus Infection and Correlation With Nasal Colonization Based on Molecular Genotyping in Medical Intensive Care Units A Prospective Observational Study [J].
Kao, Kuo-Chin ;
Chen, Chun-Bing ;
Hu, Han-Chung ;
Chang, Hui-Ching ;
Huang, Chung-Chi ;
Huang, Yhu-Chering .
MEDICINE, 2015, 94 (28)
[17]   Carriage rates of methicillin-resistant Staphylococcus aureus (MRSA) depend on anatomic location, the number of sites cultured, culture methods, and the distribution of clonotypes [J].
Lauderdale, T. -L. Y. ;
Wang, J. -T. ;
Lee, W. -S. ;
Huang, J. -H. ;
McDonald, L. C. ;
Huang, I. -W. ;
Chang, S. -C. .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 2010, 29 (12) :1553-1559
[18]   Carriage of Methicillin-Resistant Staphylococcus aureus in Home Care Settings Prevalence, Duration, and Transmission to Household Members [J].
Lucet, Jean-Christophe ;
Paoletti, Xavier ;
Demontpion, Christine ;
Degrave, Marie ;
Vanjak, Dominique ;
Vincent, Corinne ;
Andremont, Antoine ;
Jarlier, Vincent ;
Mentre, France ;
Nicolas-Chanoine, Marie-Helene .
ARCHIVES OF INTERNAL MEDICINE, 2009, 169 (15) :1372-1378
[19]   Duration of methicillin-resistant Staphylococcus aureus carriage, according to risk factors for acquisition [J].
Marschall, Jonas ;
Muehlemann, Kathrin .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2006, 27 (11) :1206-1212
[20]   Quantifying the Impact of Extranasal Testing of Body Sites for Methicillin-Resistant Staphylococcus aureus Colonization at the Time of Hospital or Intensive Care Unit Admission [J].
McKinnell, James A. ;
Huang, Susan S. ;
Eells, Samantha J. ;
Cui, Eric ;
Miller, Loren G. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2013, 34 (02) :161-170