Journal of the Formosan Medical Association = Taiwan yi zhi · 2012
Risk factors for nasal carriage of methicillin-resistant Staphylococcus aureus among patients with end-stage renal disease in Taiwan.
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Wang Cheng-Yi, Wu Vin-Cent, Wang Wei-Jie, Lin Yu-Feng, Lin Yen-Hung, Chen Yung-Ming, Su Chi-Ting, Wang Jen-Yu, Wu Kwan-Dun, Hsueh Po-Ren
Аннотация
BACKGROUND/PURPOSE: Patients with end-stage renal disease (ESRD) are at particular risk for methicillin-resistant Staphylococcus aureus (MRSA) infections, especially via nasal colonization of MRSA. Surveillance cultures are recommended to identify patients colonized by MRSA.
METHODS: Clinical data and screening cultures of S. aureus from the anterior nares of 541 patients on long-term dialysis in the hospitals were performed in March 2007. The follow-up survey was conducted 1 year later.
RESULTS: A total of 32 (5.9%) of the 541 patients were positive nasal cultures for MRSA, while 89 (16.5%) were positive for methicillin-susceptible S. aureus (MSSA). In a multivariate analysis, risk factors for ESRD patients with MRSA colonization included congestive heart failure, nursing home admission, and nasogastric tube feeding in the last 3 months. Follow-up of the 32 MRSA colonized patients showed that one (3.1%) died due to MSSA and three (9.3%) died due from MRSA infection.
CONCLUSIONS: We found that patients with ESRD and MRSA nasal colonization were associated with a history of congestive heart failure, nursing home admission, and nasogastric tube feeding in the last 3 months.
METHODS: Clinical data and screening cultures of S. aureus from the anterior nares of 541 patients on long-term dialysis in the hospitals were performed in March 2007. The follow-up survey was conducted 1 year later.
RESULTS: A total of 32 (5.9%) of the 541 patients were positive nasal cultures for MRSA, while 89 (16.5%) were positive for methicillin-susceptible S. aureus (MSSA). In a multivariate analysis, risk factors for ESRD patients with MRSA colonization included congestive heart failure, nursing home admission, and nasogastric tube feeding in the last 3 months. Follow-up of the 32 MRSA colonized patients showed that one (3.1%) died due to MSSA and three (9.3%) died due from MRSA infection.
CONCLUSIONS: We found that patients with ESRD and MRSA nasal colonization were associated with a history of congestive heart failure, nursing home admission, and nasogastric tube feeding in the last 3 months.
Предметные рубрики MeSH
AdultAgedAnti-Bacterial AgentsCarrier StateCase-Control StudiesCommunity-Acquired InfectionsFemaleFollow-Up StudiesHumansIncidenceKidney Failure, ChronicMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedMultivariate AnalysisNasal CavityPrognosisRisk FactorsStaphylococcal InfectionsTaiwanYoung Adult