Köck R, Winner K, Schaumburg F, Jurke A, Rossen J W, Friedrich A W
Institute of Hygiene, University Hospital Münster, Münster, Germany.
Institute of Medical Microbiology, University Hospital Münster, Münster, Germany.
J Hosp Infect. 2014 Jun;87(2):115-8. doi: 10.1016/j.jhin.2014.02.007. Epub 2014 Mar 25.
This prospective multi-centre study assessed nasal colonization with meticillin-resistant Staphylococcus aureus (MRSA) among patients on admission to and discharge from 11 rehabilitation centres in Germany. On admission, 71 of 5896 patients (1.2%) carried MRSA. History of MRSA carriage [odds ratio (OR) 4.3, 95% confidence interval (CI) 1.8-10.6], hospitalization within the previous six months (OR 2.5, 95% CI 1.2-5.2), contact with pigs (OR 22.5, 95% CI 11.1-45.7) and presence of chronic wounds (OR 4.7, 95% CI 1.9-12.0) were independently associated with MRSA. On discharge, 0.3% of the patients had acquired MRSA.
这项前瞻性多中心研究评估了德国11家康复中心患者入院时和出院时耐甲氧西林金黄色葡萄球菌(MRSA)的鼻腔定植情况。入院时,5896名患者中有71名(1.2%)携带MRSA。MRSA携带史(比值比[OR]4.3,95%置信区间[CI]1.8 - 10.6)、前六个月内的住院史(OR 2.5,95% CI 1.2 - 5.2)、与猪接触(OR 22.5,95% CI 11.1 - 45.7)以及慢性伤口的存在(OR 4.7,95% CI 1.9 - 12.0)均与MRSA独立相关。出院时,0.3%的患者获得了MRSA。