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- Title
Methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococci co-colonization.
- Authors
Furuno, Jon P.; Perencevich, Eli N.; Johnson, Judith A.; Wright, Marc-Oliver; McGregor, Jessina C.; Morris Jr., J. Glenn; Strauss, Sandra M.; Roghman, Mary-Claire; Nemoy, Lucia L.; Standiford, Harold C.; Hebden, Joan N.; Harris, Anthony D.; Morris, J Glenn Jr
- Abstract
We assessed the prevalence, risk factors, and clinical outcomes of patients co-colonized with vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) upon admission to the medical and surgical intensive care units (ICUs) of a tertiary-care facility between January 1, 2002, and December 31, 2003. Co-colonization was defined as a VRE-positive perirectal surveillance culture with an MRSA-positive anterior nares surveillance culture collected concurrently. Among 2,440 patients, 65 (2.7%) were co-colonized. Independent risk factors included age (odds ratio [OR] 1.03, 95% confidence interval [CI] 1.01-1.05), admission to the medical ICU (OR 4.38, 95% CI 2.46-7.81), male sex (OR 1.93, 95% CI 1.14-3.30), and receiving antimicrobial drugs on a previous admission within 1 year (OR 3.06, 95% CI 1.85-5.07). None of the co-colonized patients would have been identified with clinical cultures alone. We report a high prevalence of VRE/MRSA co-colonization upon admission to ICUs at a tertiary-care hospital.
- Subjects
VANCOMYCIN; VANCOMYCIN resistance; ENTEROCOCCUS; METHICILLIN resistance; STAPHYLOCOCCUS aureus; CROSS infection prevention; COMPARATIVE studies; CROSS infection; INTENSIVE care units; RESEARCH methodology; MEDICAL cooperation; RESEARCH; RESEARCH funding; STAPHYLOCOCCAL diseases; GRAM-positive bacterial infections; EVALUATION research; DISEASE prevalence; DISEASE complications
- Publication
Emerging Infectious Diseases, 2005, Vol 11, Issue 10, p1539
- ISSN
1080-6040
- Publication type
journal article
- DOI
10.3201/eid1110.050508