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Risk Factors for Colonization With Methicillin-Resistant Staphylococcus aureus in a Long-Term-Care Facility in Slovenia

Published online by Cambridge University Press:  21 June 2016

Petra Vovko ,
Matjaz Retelj ,
Tjasa Zohar Cretnik ,
Borut Jutersek ,
Tatjana Harlander ,
Jana Kolman  and
Marija Gubina
Petra Vovko*
Affiliation:
Microbiology Department, Public Health Institute Novo mesto, Novo mesto, Slovenia
Matjaz Retelj
Affiliation:
Microbiology Department, Public Health Institute Novo mesto, Novo mesto, Slovenia
Tjasa Zohar Cretnik
Affiliation:
Microbiology Department, Public Health Institute Celje, Celje, Slovenia
Borut Jutersek
Affiliation:
Microbiology Department, Public Health Institute Celje, Celje, Slovenia
Tatjana Harlander
Affiliation:
Microbiology Department, Public Health Institute Novo mesto, Novo mesto, Slovenia
Jana Kolman
Affiliation:
University Medical Centre Ljubljana, Ljubljana, Slovenia
Marija Gubina
Affiliation:
Institute of Microbiology and Immunology, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia
*
Microbiology Department, Public Health Institute Novo mesto, Mej vrti 5, SI-8000 Novo mesto, Slovenia. [email protected]
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Abstract

Objective:

To evaluate risk factors associated with methicillin-resistant Staphylococcus aureus (MRSA) colonization in a long-term-care facility (LTCF) for the elderly in Slovenia.

Setting:

A 351-bed community LTCF for the elderly.

Design and Participants:

This was a case-control study. MRSA carriage was identified in 102 of 127 residents of the facility's nursing unit. Two swabs were taken: one from the anterior nares and one from the largest skin lesion. If no skin lesions were present, the axillae and the groin area were swabbed. Data were collected regarding gender, age, length of stay in the facility, underlying conditions, functional status, presence of wounds or pressure sores, presence of catheters, antibiotic treatments, and hospital admissions.

Results:

We detected MRSA in 12 participants. Risk factors independently and significantly associated with MRSA colonization on the multivariate analysis were antibiotic treatments within 1 month before the investigation (odds ratio, 5.087; 95% confidence interval, 1.02 to 25.48; P = .048) and multiple hospital admissions in the 3 months before the investigation (odds ratio, 6.277; 95% confidence interval, 1.31 to 30.05; P = .022).

Conclusions:

This is the first assessment of risk factors for colonization with MRSA in an LTCF in Slovenia. MRSA poses a problem in this LTCF. Our observations may be valuable in implementing active surveillance cultures in infection control programs in Slovenian LTCFs.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 26 , Issue 2 , February 2005 , pp. 191 - 195
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2005

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