- Oral presentation
- Open Access
Prevalence and risk factors for methicillin-resistant Staphylococcus aureus (MRSA) carriage on admission to different hospital sectors in two European countries
© Lee et al; licensee BioMed Central Ltd. 2011
- Published: 29 June 2011
- Healthcare Sector
- Rehabilitation Unit
- Hospital Sector
- Home Residency
- Ward Level
Knowledge of local MRSA epidemiology at both facility and ward level helps target control measures. This study aimed to determine the prevalence of and risk factors for MRSA colonisation on admission to different healthcare sectors in two European countries.
Four centres in Spain and France enrolled in 3 intervention trials of MRSA control performed universal MRSA screening on admission to intensive care units (ICUs), surgical wards and rehabilitation units from August 2008 to March 2010. Demographic and comorbidity data were collected. Univariate and multivariate logistic regression analyses were used to identify risk factors for unknown MRSA carriage on admission.
Overall, 1780 previously unknown MRSA carriers were screened, 403 (23%) in ICUs, 1099 (62%) in surgical wards and 278 (16%) in rehabilitation wards. The prevalence of unknown MRSA carriage on admission was 2.7% in ICUs, 3.6% in surgical wards and 7.9% in rehabilitation units. No independent risk factors for MRSA carriage on admission to the ICUs were found. Risk factors for surgical wards were age, wounds, nursing home residency and tracheostomy. Rehabilitation unit risk factors were renal failure, diabetic foot, recent antibiotic use and neuro-rehabilitation.
Prevalence and risk profiles for MRSA carriage on admission to different healthcare sectors varied widely, emphasising the importance of local surveillance data to enable adaptation of MRSA control policies at the ward level.
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.