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Prevalence of and Risk Factors for Methicillin-Resistant Staphylococcus aureus Carriage at Hospital Admission

Published online by Cambridge University Press:  02 January 2015

Irma Casas ,
Nieves Sopena ,
Maria Esteve ,
Maria Dolores Quesada ,
Isabel Andrés ,
Lourdes Matas ,
Silvia Blanco ,
Maria Luisa Pedro-Botet ,
Montse Caraballo  and
Vicente Ausina
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Irma Casas
Affiliation:
Department of Preventive Medicine, Hospital Germans Trias i Pujol, Barcelona, Spain
Nieves Sopena*
Affiliation:
Infectious Diseases Unit, Internal Medicine Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Maria Esteve
Affiliation:
Department of Preventive Medicine, Hospital Germans Trias i Pujol, Barcelona, Spain
Maria Dolores Quesada
Affiliation:
Microbiology Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Isabel Andrés
Affiliation:
Infection Control Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Lourdes Matas
Affiliation:
Microbiology Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Silvia Blanco
Affiliation:
Microbiology Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Maria Luisa Pedro-Botet
Affiliation:
Infectious Diseases Unit, Internal Medicine Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Montse Caraballo
Affiliation:
Infection Control Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Vicente Ausina
Affiliation:
Microbiology Department, Hospital Germans Trias i Pujol, Barcelona, Spain
Miquel Sabrià
Affiliation:
Infectious Diseases Unit, Internal Medicine Department, Hospital Germans Trias i Pujol, Barcelona, Spain
*
Infectious Diseases Unit., Hospital Germans Trias i Pujol.C/ Canyet, s/n. CP 08916 Barcelona, Spain (nsopena.germanstrias@gencat.net)
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Abstract

To determine the prevalence of and risk factors for methicillin-resistant Staphylococcus aureus (MRSA) carriage at the time of admission to our hospital, we screened the medical records of 1,128 patients for demographic and clinical data. The antimicrobial resistance pattern and genotype of MRSA isolates were studied. The prevalence of MRSA carriage at hospital admission was 1.4%. Older patients and patients previously admitted to healthcare centers were the most likely to have MRSA carriage at admission.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 11 , November 2007 , pp. 1314 - 1317
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1.Deresinski, S. methicillin-resistant Staphylococcus aureus: an evolutionary, epidemiologic, and therapeutic Odyssey. Clin Infect Dis 2005;40:562–573.Google Scholar
2.Fridkin, SK, Hageman, JC, Morrison, M, et al. methicillin-resistant Staphylococcus aureus disease in three communities. New Engl J Med 2005;352:1436–1444.Google Scholar
3.Girou, E, Pujade, G, Legrand, P, Cizeau, F, Brun-Buisson, C. Selective screening of carriers for control of methicillin-resistant Staphylococcus aureus (MRSA) in high-risk hospital areas with a high level of endemic MRSA. Clin Infect Dis 1998;27:543–550.CrossRefGoogle ScholarPubMed
4.Sabriá-Leal, M, Morthland, VH, Pedro-Botet, ML, et al. Molecular epidemiology for local epidemic outbreaks of methicillin resistant Staphylococcus aureus: the need for several methods. Eur J Epidemiol 1994;10:325–330.Google Scholar
5.Sopeña, N, Sabria, M, Pedro-Botet, ML, et al. Impact of control measures on the course of an outbreak of methicillin-resistant Staphylococcus aureus [in Spanish]. Med Clin (Barc) 1997;108:401–404.Google ScholarPubMed
6.Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Disk Susceptibility Test: 7th ed. Villanova, PA: National Committee for Clinical and Laboratory Standards;2002:MO2-A7.Google Scholar
7.Tenover, FC, Arbeit, RD, Goering, RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:2233–2239.CrossRefGoogle ScholarPubMed
8.Salgado, CD, Farr, BM, Calfee, DP. Community-acquired methicillin-resistant Staphylococcus aureus: a meta-analysis of prevalence and risk factors. Clin Infect Dis 2003;36:131–139.Google Scholar
9.Harbarth, S, Sax, H, Fankhauser-Rodriguez, C, Schrenzel, J, Agostinho, A, Pittet, D. Evaluating the probability of previously unknown carriage of MRSA at hospital admission. Am J Med 2006;119:275.Google Scholar
10.Furuno, JP, Harris, AD, Wright, MO, et al. Prediction rules to identify patients with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci upon hospital admission. Am J Infect Control 2004;32:436–440.Google Scholar
11.Davis, KA, Steward, JJ, Crouch, HK, Florez, CE, Hospenthal, DR. methicillin-resistant Staphylococcus aureus (MRSA) nares colonization at hospital admission and its effect on subsequent MRSA infection. Clin Infect Dis 2004;39:776–782.Google Scholar
12.Fishbain, JT, Lee, JC, Nguyen, HD, et al. Nosocomial transmission of methicillin-resistant Staphylococcus aureus: a blinded study to establish baseline acquisition rates. Infect Control Hosp Epidemiol 2003;24:415–421.CrossRefGoogle ScholarPubMed
13.Fukuda, M, Tanaka, H, Kajiwara, Y, et al. High-risk populations for nasal carriage of methicillin-resistant Staphylococcus aureus. J Infect Chemother 2004;10:189–191.CrossRefGoogle ScholarPubMed
14.Troillet, N, Carmeli, Y, Samore, M, et al. Carriage of methicillin-resistant Staphylococcus aureus at hospital admission. Infect Control Hosp Epidemiol 1998;19:181–185.Google Scholar
15.Lucet, JC, Grenet, K, Armand-Lefevre, L, et al. High prevalence of carriage of methicillin-resistant Staphylococcus aureus at hospital admission in elderly patients: implications for infection control strategies. Infect Control Hosp Epidemiol 2005;26:121–126.Google Scholar
16.Eveillard, M, Mortier, E, Lancien, E, et al. Consideration of age at admission for selective screening to identify methicillin-resistant Staphylococcus aureus carriers to control dissemination in a medical ward. Am J Infect Control 2006;34:108–113.CrossRefGoogle Scholar
17.Charlebois, ED, Bangsberg, DR, Moss, NJ, et al. Population-based community prevalence of methicillin-resistant Staphylococcus aureus in the urban poor of San Francisco. Clin Infect Dis 2002;34:425–433.CrossRefGoogle ScholarPubMed
18.Lucet, JC, Chevret, S, Durand-Zaleski, I, Chastang, C, Régnier, B, for the Multicenter Study Group. Prevalence and risk factors for carriage of methicillin-resistant Staphylococcus aureus at admission to the intensive care unit. Arch Intern Med 2003;163:181–188.CrossRefGoogle ScholarPubMed
19.Hidron, AI, Kourbatova, EV, Halvosa, JS, et al. Risk factors for colonization with methicillin-resistant Staphylococcus aureus (MRSA) in patients admitted to an urban hospital: emergence of community-associated MRSA nasal carriage. Clin Infect Dis 2005;41:159–166.CrossRefGoogle Scholar
20.Jernigan, JA, Pullen, AL, Partin, C, Jarvis, WR. Prevalence of and risk factors for colonization with methicillin-resistant Staphylococcus aureus in an outpatient clinic population. Infect Control Hosp Epidemiol 2003;24:445–450.Google Scholar
21.Sopena, N, Garcia-Nunez, M, Prats, R, et al. Appearance of methicillin-resistant Staphylococcus aureus (MRSA) sensitive to gentamicin in a hospital with a previous endemic distinct MRSA. Eur J Epidemiol 2001;17:317–321.CrossRefGoogle Scholar