https://scholars.lib.ntu.edu.tw/handle/123456789/479993
標題: | Risk factors for nasal carriage of methicillin-resistant Staphylococcus aureus among patients with end-stage renal disease in Taiwan | 作者: | Wang C.-Y. VIN-CENT WU Wang W.-J. YU-FENG LIN YEN-HUNG LIN YUNG-MING CHEN CHI-TING SU Wang J.-Y. KWAN-DUN WU PO-REN HSUEH |
公開日期: | 2012 | 卷: | 111 | 期: | 1 | 起(迄)頁: | 14-18 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | 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. ? 2012. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/479993 | ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2012.01.001 | SDG/關鍵字: | oxacillin; adult; aged; antibiotic sensitivity; article; bacterial colonization; bacterium culture; congestive heart failure; controlled study; disease association; female; follow up; hospital admission; human; infection risk; kidney failure; major clinical study; male; methicillin resistant Staphylococcus aureus; methicillin resistant Staphylococcus aureus infection; mortality; nose feeding; nose smear; nursing home; renal replacement therapy; risk factor; Taiwan; Adult; Aged; Anti-Bacterial Agents; Carrier State; Case-Control Studies; Community-Acquired Infections; Female; Follow-Up Studies; Humans; Incidence; Kidney Failure, Chronic; Male; Methicillin-Resistant Staphylococcus aureus; Middle Aged; Multivariate Analysis; Nasal Cavity; Prognosis; Risk Factors; Staphylococcal Infections; Taiwan; Young Adult |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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