Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-22T22:54:30.762Z Has data issue: false hasContentIssue false

Hospitalization Earlier than 1 Year Prior to Admission as an Additional Risk Factor for Methicillin-Resistant Staphylococcus aureus Colonization

Published online by Cambridge University Press:  02 January 2015

Laura McAllister*
Affiliation:
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta
Robert P. Gaynes
Affiliation:
Division of Healthcare Quality and Promotion, Centers for Disease Control and Prevention, Atlanta School of Medicine, Atlanta Atlanta Veterans Affairs Medical Center, Decatur, Georgia
David Rimland
Affiliation:
School of Medicine, Atlanta Atlanta Veterans Affairs Medical Center, Decatur, Georgia
John E. McGowan Jr
Affiliation:
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta
*
Division of Healthcare Quality and Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop A7, Atlanta, GA 30341, ([email protected])

Abstract

Our case-control study sought to identify risk factors for colonization with methicillin-resistant Staphylococcus aureus (MRSA) at hospital admission among patients with no known healthcare-related risk factors. We found that patients whose most recent hospitalization occurred greater than 1 year before their current hospital admission were more likely to have MRSA colonization. In addition, both the time that elapsed since the most recent hospitalization and the duration of that hospitalization affected risk.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Klevens, RM, Morrison, MA, Nadle, J, et al.Invasive methicillin-resistant Staphylococcus aureus infections in the United States. JAMA 2007;298:17631771.CrossRefGoogle ScholarPubMed
2.Wertheim, HF, Melles, DC, Vos, MC, et al.The role of nasal carriage in Staphylococcus aureus infections. Lancet Infect Dis 2005;5:751762.Google Scholar
3.Ellis, MW, Hospenthal, DR, Dooley, DP, Gray, PJ, Murray, CK. Natural history of community-acquired methicillin-resistant Staphylococcus aureus colonization and infection in soldiers. Clin Infect Dis 2004;39:971979.CrossRefGoogle ScholarPubMed
4.Rim, JY, Bacon AE 3rd. Prevalence of community-acquired methicillin-resistant Staphylococcus aureus colonization in a random sample of healthy individuals. Infect Control Hosp Epidemiol 2007;28:10441046.CrossRefGoogle Scholar
5.Hidron, AI, Kourbatova, EV, Halvosa, JS, et al.Risk factors for colonization with methicillin-resistant Staphylococcus aureus (MRSA) in patients admitted to an urban hospital: emergence of community-associated MRSA nasal carriage. Clin Infect Dis 2005;41:159166.Google Scholar
6.Sa-Leao, R, Sanches, IS, Couto, I, Alves, CR, de Lencastre, H. Low prevalence of methicillin-resistant strains among Staphylococcus aureus colonizing young and healthy members of the community in Portugal. Microb Drug Resist 2001;7:237245.CrossRefGoogle Scholar
7.Lucet, JC, Chevret, S, Durand-Zaleski, I, et al.Prevalence and risk factors for carriage of methicillin-resistant Staphylococcus aureus at admission to the intensive care unit: results of a multicenter study. Arch Intern Med 2003;163:181188.Google Scholar
8.Jernigan, JA, Pullen, AL, Flowers, L, et al.Prevalence of and risk factors for colonization with methicillin-resistant Staphylococcus aureus at the time of hospital admission. Infect Control Hosp Epidemiol 2003;24:409414.CrossRefGoogle ScholarPubMed