Custom Data Analytics, Thomson Reuters, Washington, DC, USA.
Infect Control Hosp Epidemiol. 2012 Jul;33(7):725-31. doi: 10.1086/666329. Epub 2012 May 14.
To describe trends in hospitalizations with community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infection in New York City over 10 years and to explore the demographics and comorbidities of patients hospitalized with CA-MRSA infections.
Retrospective analysis of hospital discharges from New York State's Statewide Planning and Research Cooperative System database from 1997 to 2006.
All patients greater than 1 year of age admitted to New York hospitals with diagnosis codes indicating MRSA who met the criteria for CA-MRSA on the basis of admission information and comorbidities.
We determined hospitalization rates and compared demographics and comorbidities of patients hospitalized with CA-MRSA versus those hospitalized with all other non-MRSA diagnoses by multivariable logistic regression.
Of 18,226 hospitalizations with an MRSA diagnosis over 10 years, 3,579 (20%) were classified as community-associated. The CA-MRSA hospitalization rate increased from 1.47 to 10.65 per 100,000 people overall from 1997 to 2006. Relative to non-MRSA hospitalizations, men, children, Bronx and Manhattan residents, the homeless, patients with human immunodeficiency virus (HIV) infection, and persons with diabetes had higher adjusted odds of CA-MRSA hospitalization.
The CA-MRSA hospitalization rate appeared to increase between 1997 and 2006 in New York City, with residents of the Bronx and Manhattan, men, and persons with HIV infection or diabetes at increased odds of hospitalization with CA-MRSA. Further studies are needed to explore how changes in MRSA incidence, access to care, and other factors may have impacted these rates.
描述纽约市 10 年来社区获得性耐甲氧西林金黄色葡萄球菌（CA-MRSA）感染住院的趋势，并探讨住院 CA-MRSA 感染患者的人口统计学和合并症特征。
对 1997 年至 2006 年纽约州全州规划和研究合作系统数据库中住院患者的回顾性分析。
所有年龄大于 1 岁、在纽约医院就诊、诊断代码显示 MRSA 且基于入院信息和合并症符合 CA-MRSA 标准的患者。
我们确定了住院率，并通过多变量逻辑回归比较了 CA-MRSA 住院患者和所有其他非 MRSA 诊断住院患者的人口统计学和合并症特征。
在 10 年期间的 18226 例 MRSA 诊断住院中，有 3579 例（20%）被归类为社区获得性。1997 年至 2006 年，CA-MRSA 住院率从每 10 万人 1.47 例上升至 10.65 例。与非 MRSA 住院相比，男性、儿童、布朗克斯区和曼哈顿区居民、无家可归者、人类免疫缺陷病毒（HIV）感染者和糖尿病患者的 CA-MRSA 住院调整后比值比更高。
1997 年至 2006 年期间，纽约市 CA-MRSA 住院率似乎有所增加，布朗克斯区和曼哈顿区居民、男性、HIV 感染者或糖尿病患者的 CA-MRSA 住院风险更高。需要进一步研究来探讨 MRSA 发病率、获得医疗服务的机会和其他因素的变化如何影响这些比率。
