Fascia D T M, Singanayagam A, Keating J F
The Edinburgh Orthopaedic Trauma Unit, The Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, UK.
J Bone Joint Surg Br. 2009 Feb;91(2):249-52. doi: 10.1302/0301-620X.91B2.21339.
We have conducted a case-control study over a period of ten years comparing both deep infection with methicillin-resistant staphylococcus aureus (MRSA) and colonised cases with a control group. Risk factors associated with deep infection were vascular diseases, chronic obstructive pulmonary disease, admission to a high-dependency or an intensive-care unit and open wounds. Those for colonisation were institutional care, vascular diseases and dementia. Older age was a risk factor for any MRSA infection. The length of hospital stay was dramatically increased by deep infection. These risk factors are useful in identifying higher-risk patients who may be more susceptible to MRSA infection. A strategy of early identification and isolation may help to control its spread in trauma units.
我们进行了一项为期十年的病例对照研究，比较了耐甲氧西林金黄色葡萄球菌（MRSA）深部感染病例和定植病例与对照组。与深部感染相关的危险因素包括血管疾病、慢性阻塞性肺疾病、入住高依赖或重症监护病房以及开放性伤口。与定植相关的因素包括机构护理、血管疾病和痴呆。高龄是任何MRSA感染的危险因素。深部感染显著增加了住院时间。这些危险因素有助于识别可能更容易感染MRSA的高危患者。早期识别和隔离策略可能有助于控制其在创伤病房的传播。
