Community-Acquired Infection With Healthcare-Associated Methicillin-Resistant Staphylococcus aureus: The Role of Home Nursing Care
| العنوان: | Community-Acquired Infection With Healthcare-Associated Methicillin-Resistant Staphylococcus aureus: The Role of Home Nursing Care |
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| المؤلفون: | M. Biendo, Gwenaelle Locher, F. Eb, Stéphanie Van Agt, Guillaume Le Loup, François Vandenesch, Jerome Etienne, Olivier Ganry, J.L. Schmit, Mathieu Eveillard, François-Xavier Lescure, Youcef Douadi |
| المصدر: | Infection Control & Hospital Epidemiology. 27:1213-1218 |
| بيانات النشر: | Cambridge University Press (CUP), 2006. |
| سنة النشر: | 2006 |
| مصطلحات موضوعية: | Adult, Male, 0301 basic medicine, Microbiology (medical), Staphylococcus aureus, Pediatrics, medicine.medical_specialty, Multivariate analysis, Epidemiology, 030106 microbiology, MEDLINE, medicine.disease_cause, Staphylococcal infections, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Internal medicine, medicine, Humans, 030212 general & internal medicine, Risk factor, Hospitals, Teaching, Aged, Aged, 80 and over, Cross Infection, business.industry, Case-control study, Odds ratio, Middle Aged, Staphylococcal Infections, medicine.disease, Home Care Services, Methicillin-resistant Staphylococcus aureus, Community-Acquired Infections, Infectious Diseases, Case-Control Studies, Multivariate Analysis, Female, Methicillin Resistance, France, business |
| الوصف: | Objective.To better understand the role of indirect transmission in community-acquired infection with methicillin-resistant Staphylococcus aureus (MRSA).Design.Prospective case-control study.Setting.A French teaching hospital.Patients.A total of 198 case patients and 198 control patients with MRSA or methicillin-susceptible S. aureus infection diagnosed between April 2002 and July 2003.Results.Multivariate analysis showed a highly significant independent link between MRSA infection at admission and prior receipt of home nursing care (odds ratio [OR], 3.7; PPP = .008), and age older than 65 years (OR, 1.6; P = .04). Prior home nursing care showed a frequency dose-response relationship. Eleven MRSA-infected patients had had home nursing procedures but no hospital stay in the previous 3 years. These patients' MRSA strains were related to the prevalent MRSA clone currently spreading in French hospitals.Conclusion.Home nursing care appears to be an independent risk factor for MRSA acquisition in the community. The reservoir probably consists of MRSA carriers discharged from the hospital. Community nurses seem to be a potential vector. |
| تدمد: | 1559-6834 0899-823X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::df44520fc63c013772f6ef2042a5f5c6Test https://doi.org/10.1086/507920Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....df44520fc63c013772f6ef2042a5f5c6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15596834 0899823X |
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