University Medicine Cluster, National University Hospital, Singapore.
J Hosp Infect. 2013 Mar;83(3):250-2. doi: 10.1016/j.jhin.2012.11.021. Epub 2013 Jan 29.
In a Singapore hospital practising meticillin-resistant Staphylococcus aureus (MRSA) admission screening, the relative risk for MRSA colonization for those admitted from nursing homes was 6.89 (95% confidence interval: 5.74-8.26; 41% of 190 vs 6.0% of 14,849). However, the MRSA burden on admission attributable to nursing home residence was low (6.9%). Risk factors independently associated with MRSA colonization in patients admitted from nursing homes were previous hospital admissions, broken skin, prior use of antibiotics and Chinese ethnicity. Low rates of nursing home use means that the overall impact of nursing home residence on MRSA in our hospital is low.
在新加坡一家医院进行的耐甲氧西林金黄色葡萄球菌（MRSA）入院筛查中，与从养老院入院的患者相比，MRSA 定植的相对风险为 6.89（95%置信区间：5.74-8.26；190 例中的 41% vs 14849 例中的 6.0%）。然而，养老院居住导致的入院 MRSA 负担较低（6.9%）。与养老院入院患者 MRSA 定植相关的独立危险因素为既往住院、皮肤破损、既往使用抗生素和华人种族。养老院使用率低意味着养老院居住对我们医院 MRSA 的总体影响较低。
