Prevalence and clinical impact of methicillin-resistant Staphylococcus aureus colonization among infants at a level III neonatal intensive care unit

被引:5
|
作者
Lavie-Nevo, Karen [1 ,2 ]
Srigley, Jocelyn A. [3 ]
Al-Rawahi, Ghada N. [3 ]
Bone, Jeffrey [4 ]
Osiovich, Horacio [1 ]
Roberts, Ashley [1 ]
Ting, Joseph Y. [1 ]
机构
[1] Univ British Columbia, Dept Pediat, Div Neonatol, 4480 Oak St, Vancouver, BC V6H 3V4, Canada
[2] Carmel Hosp, Dept Pediat, Haifa, Israel
[3] Univ British Columbia, Dept Pathol & Lab Med, Vancouver, BC, Canada
[4] Univ British Columbia, Dept Obstet & Gynecol, Vancouver, BC, Canada
关键词
MRSA; Neonate; Score for neonatal acute physiology; Risk factors; NICU; ACTIVE SURVEILLANCE; RISK-FACTORS; INFECTION; TRANSMISSION; DECOLONIZATION; MORTALITY; OUTCOMES; SPREAD;
D O I
10.1016/j.ajic.2019.04.173
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a well-known nosocomial pathogen in neonatal intensive care unit (NICU) patients. Studies on the impact of MRSA colonization on neonatal morbidities are scarce. Methods: We conducted a 1:3 matched cohort study among infants with and without MRSA colonization, born between January 2010 and June 2014, in a tertiary NICU to review their demographic characteristics and outcomes. Results: During the study period, rates of MRSA colonization and bacteremia were found to be 0.68% and 0.10%, respectively. No differences in demographic characteristics, mortality, and major morbidities were identified among infants with and without MRSA colonization. Conclusions: We reported a low rate of MRSA colonization in infants admitted to our NICU, without impact on mortality and inhospital morbidity. Further large-scale studies are needed to understand the implications and cost-effectiveness of active MRSA surveillance. (C) 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1336 / 1339
页数:4
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