Daeschlein G, Assadian O, Rangous I, Kramer A
Institute for Hygiene and Environmental Medicine of the Ernst-Moritz-Arndt-University, Greifswald, Germany.
J Hosp Infect. 2006 Jun;63(2):216-20. doi: 10.1016/j.jhin.2005.12.014. Epub 2006 Apr 5.
The prevalence of Staphylococcus aureus nasal carriage in three nursing homes (N=500) was 36.6%. No meticillin-resistant S. aureus (MRSA) was detected. The following significant risk factors for S. aureus nasal carriage were identified: vascular cognitive impairment [odds ratio (OR)=0.31]; diabetes mellitus (OR=1.82); hypertension (OR=0.30); chronic obstructive pulmonary disease (OR=1.86); stroke (OR=3.31); antibiotic therapy within the previous three months (OR=2.10); and level 2 care (defined as highly dependent, needing help in activities of daily living for up to 4h/day) (OR=1.97). Compared with other countries, the prevalence of MRSA nasal carriage in residents of German nursing homes is low.
在三家养老院（N = 500）中，金黄色葡萄球菌鼻腔定植率为36.6%。未检测到耐甲氧西林金黄色葡萄球菌（MRSA）。确定了以下金黄色葡萄球菌鼻腔定植的显著危险因素：血管性认知障碍[比值比（OR）= 0.31]；糖尿病（OR = 1.82）；高血压（OR = 0.30）；慢性阻塞性肺疾病（OR = 1.86）；中风（OR = 3.31）；前三个月内接受抗生素治疗（OR = 2.10）；以及2级护理（定义为高度依赖，日常生活活动需要长达4小时的帮助）（OR = 1.97）。与其他国家相比，德国养老院居民中MRSA鼻腔定植率较低。
