Predicting High Prevalence of Community Methicillin-Resistant Staphylococcus aureus Strains in Nursing Homes

被引:23
作者
Murphy, Courtney R. [1 ,2 ]
Hudson, Lyndsey O. [3 ]
Spratt, Brian G. [3 ]
Quan, Victor [1 ,2 ]
Kim, Diane [1 ,2 ]
Peterson, Ellena [4 ]
Tan, Grace [4 ]
Evans, Kaye [4 ]
Meyers, Hildy [5 ]
Cheung, Michele [5 ]
Lee, Bruce Y. [6 ,7 ]
Mukamel, Dana B. [8 ,9 ]
Enright, Mark C. [10 ]
Whealon, Matthew [1 ,2 ]
Huang, Susan S. [1 ]
机构
[1] Univ Calif Irvine, Sch Med, Div Infect Dis, Irvine, CA 92617 USA
[2] Univ Calif Irvine, Sch Med, Hlth Policy Res Inst, Irvine, CA 92617 USA
[3] Univ London Imperial Coll Sci Technol & Med, Dept Infect Dis Epidemiol, London, England
[4] Univ Calif Irvine, Sch Med, Dept Pathol & Lab Med, Irvine, CA 92617 USA
[5] Orange Cty Hlth Care Agcy, Epidemiol & Assessment Program, Santa Ana, CA USA
[6] Univ Pittsburgh, Sch Med, Dept Med Epidemiol & Biomed Informat, Pittsburgh, PA USA
[7] Univ Pittsburgh, Grad Sch Publ Hlth, Pittsburgh, PA USA
[8] Univ Calif Irvine, Sch Med, Dept Med, Irvine, CA 92617 USA
[9] Univ Calif Irvine, Sch Med, Hlth Policy Res Inst, Irvine, CA 92617 USA
[10] AmphliPhi Biosci, Sharnbrook, Beds, England
基金
美国国家卫生研究院; 英国生物技术与生命科学研究理事会; 美国医疗保健研究与质量局;
关键词
TERM-CARE FACILITY; INFECTIONS; EMERGENCE; CLONE;
D O I
10.1086/669519
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We assessed characteristics associated with community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) carriage among residents of 22 nursing homes. Of MRSA-positive swabs, 25% (208/824) were positive for CA-MRSA. Median facility CA-MRSA percentage was 22% (range, 0%-44%). In multivariate models, carriage was associated with age less than 65 years (odds ratio, 1.2; P < .001) and Hispanic ethnicity (odds ratio, 1.2; P = .006). Interventions are needed to target CA-MRSA. Infect Control Hosp Epidemiol 2013;34(3):325-328
引用
收藏
页码:325 / 328
页数:4
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