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- Title
The general status of patients and limited physical activity as risk factors of Methicillin-resistant Staphylococcus aureus occurrence in long-term care facilities residents in Krakow, Poland.
- Authors
Romaniszyn, Dorota; Pobiega, Monika; Wójkowska-Mach, Jadwiga; Chmielarczyk, Agnieszka; Gryglewska, Barbara; Adamski, Pawel; Heczko, Piotr B; Ochonska, Dorota; Bulanda, Malgorzata; Ochońska, Dorota
- Abstract
<bold>Background: </bold>The aim of this study was to investigate the epidemiology and resistance of methicillin-resistant Staphylococcus aureus (MRSA) isolates from long-term care facilities (LTCF) residents and to analyze the potential risk factors for MRSA occurrence, defined as MRSA colonization and/or infection.<bold>Methods: </bold>Point prevalence (PPS) and prospective incidence continuous study (CS) was carried out on a group of 193 residents in 2009-2010.<bold>Results: </bold>Overall MRSA occurred (with or without infection) among 17.6% of residents. There was 16 cases of infections with SA aetiology, of which 10 (58.8%) were caused by MRSA. The MRSA prevalence in PPS was 12.9%, in CS infection incidence rate was 5.2%. Factors associated with MRSA occurrence were: general status of patients, limited physical activity, wound infections (odds ratio, OR 4.6), ulcers in PPS (OR 2.1), diabetes (OR 1.6), urinary catheterization (OR 1.6) and stool incontinence (OR 1.2).<bold>Conclusions: </bold>Our data indicate a need for screening of MRSA before hospitalization or transfer to rehabilitation centres, especially in a group of residents with limitations in physical activity - i.e. with the highest risk of MRSA. Results also suggest the need for contact precautions in patients with high risk of MRSA occurrence, only. Focus on the high-risk population might be a solution for the cost-effective surveillance.
- Publication
BMC Infectious Diseases, 2014, Vol 14, Issue 1, p271
- ISSN
1471-2334
- Publication type
journal article
- DOI
10.1186/1471-2334-14-271