Methicillin-resistantStaphylococcus aureusColonization and Pre- and Post-hospital Discharge Infection Risk
Author(s) -
Richard E. Nelson,
Martin E. Evans,
Loretta A. Simbartl,
Makoto Jones,
Matthew H. Samore,
Stephen M. Kralovic,
Gary A. Roselle,
Michael Rubin
Publication year - 2018
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciy507
Subject(s) - medicine , methicillin resistant staphylococcus aureus , carriage , veterans affairs , confidence interval , staphylococcus aureus , intensive care unit , hazard ratio , logistic regression , colonization , emergency medicine , infection control , staphylococcal infections , intensive care medicine , microbiology and biotechnology , pathology , biology , bacteria , genetics
The Department of Veterans Affairs implemented an active surveillance program for methicillin-resistant Staphylococcus aureus (MRSA) in 2007 in which acute care inpatients are tested for MRSA carriage on admission, unit-to-unit transfer, and discharge. Using these data, we followed patients longitudinally to estimate the difference in infection rates for those who were not colonized, those who were colonized on admission (importers), and those who acquired MRSA during their stay. We examined MRSA infections that occurred prior to discharge and at 30, 90, 180, and 365 days after discharge.
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