感染控制措施与耐甲氧西林皮肤感染：对美国脊椎按摩疗法专业学生的一项调查
Infection Control Practices and Methicillin-Resistant Skin Infections: A Survey of Students in US Chiropractic Programs.
作者信息
Egan Jonathon T
机构信息
Los Angeles College of Chiropractic, Southern California University of Health Sciences, Whittier, California.
出版信息
J Chiropr Med. 2018 Jun;17(2):75-81. doi: 10.1016/j.jcm.2018.03.001. Epub 2018 Jun 14.
OBJECTIVE
The purpose of this study was to assess the incidence of self-reported history of physician-diagnosed methicillin-resistant (MRSA) skin and soft tissue infection (SSTI) among chiropractic students and any association with infection control behaviors (hand and table hygiene, sharing gowns, and sharing lotion) and initiation of patient care.
METHODS
Questionnaires were obtained from 312 students attending half (9/18) of US chiropractic campuses. The questionnaire was derived from earlier studies led by Bearman in 2010 and Evans in 2007. Associations were assessed with Fisher exact test. Crude odds ratios were calculated for each of the variables. Two logistic regression models were produced.
RESULTS
Attendance at 1 campus was associated with postmatriculation MRSA SSTI in univariate analysis ( = .010). The logistic regression model was significant ( < .05), but the composing variables were not.
CONCLUSIONS
Fewer than 5 cases of MRSA SSTI were detected overall, revealing a low rate of reported postmatriculation MRSA SSTI among these students. There was a univariate association with postmatriculation MRSA SSTI at 1 chiropractic college.
目的
本研究旨在评估整脊学生自我报告的经医生诊断的耐甲氧西林金黄色葡萄球菌（MRSA）皮肤和软组织感染（SSTI）病史的发生率，以及与感染控制行为（手部和治疗台卫生、共用长袍和共用乳液）和开始患者护理之间的任何关联。
方法
从美国18所整脊院校中9所院校的312名学生那里获取问卷。该问卷源自2010年贝尔曼和2007年埃文斯领导的早期研究。采用费舍尔精确检验评估关联性。计算每个变量的粗比值比。建立了两个逻辑回归模型。
结果
在单因素分析中，在1所院校就读与入学后发生MRSA SSTI相关（P = .010）。逻辑回归模型具有显著性（P < .05），但其组成变量不具有显著性。
结论
总体上检测到的MRSA SSTI病例少于5例，表明这些学生中入学后报告的MRSA SSTI发生率较低。在1所整脊学院，入学后发生MRSA SSTI存在单因素关联。
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