Source:http://linkedlifedata.com/resource/pubmed/id/11096006
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2001-2-2
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pubmed:abstractText |
We determined risk factors associated with persistent carriage of methicillin-resistant Staphylococcus aureus (MRSA) among 102 patients enrolled in a double-blind, placebo-controlled trial of nasally administered mupirocin ointment. MRSA decolonization was unsuccessful in 77 (79%) of 98 patients who met the criteria for evaluation. By univariate analysis, 4 variables were found to be associated with persistent MRSA colonization (P < .1 for all 4): absence of mupirocin treatment, previous fluoroquinolone therapy, > or = 2 MRSA-positive body sites, and low-level mupirocin resistance. After multivariable Cox proportional hazards modeling, the presence of > or = 2 positive body sites (adjusted hazard ratio [AHR], 1.7; 95% confidence interval [CI], 1.0-2.9) and previous receipt of a fluoroquinolone (AHR, 1.8; 95% CI, 1.0-3.3) were independently associated with MRSA persistence, whereas nasal mupirocin tended to confer protection (AHR, 0.6; 95% CI, 0.4-1.0). Low-level mupirocin resistance was observed in 9 genotypically different MRSA strains and was not independently associated with chronic MRSA carriage (AHR, 1.5; 95% CI, 0.9-2.5). Our findings suggest that multisite MRSA carriage and previous receipt of a fluoroquinolone are independent risk factors for persistent MRSA colonization.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
1058-4838
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1380-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:11096006-Aged,
pubmed-meshheading:11096006-Aged, 80 and over,
pubmed-meshheading:11096006-Anti-Bacterial Agents,
pubmed-meshheading:11096006-Carrier State,
pubmed-meshheading:11096006-Double-Blind Method,
pubmed-meshheading:11096006-Female,
pubmed-meshheading:11096006-Humans,
pubmed-meshheading:11096006-Male,
pubmed-meshheading:11096006-Methicillin Resistance,
pubmed-meshheading:11096006-Middle Aged,
pubmed-meshheading:11096006-Mupirocin,
pubmed-meshheading:11096006-Risk Factors,
pubmed-meshheading:11096006-Staphylococcal Infections,
pubmed-meshheading:11096006-Staphylococcus aureus
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pubmed:year |
2000
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pubmed:articleTitle |
Risk factors for persistent carriage of methicillin-resistant Staphylococcus aureus.
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pubmed:affiliation |
Infection Control Program, University Hospitals of Geneva, Geneva, Switzerland.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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