Community-Acquired Infection With Healthcare-Associated Methicillin-Resistant Staphylococcus aureus: The Role of Home Nursing Care
- 1 November 2006
- journal article
- Published by Cambridge University Press (CUP) in Infection Control & Hospital Epidemiology
- Vol. 27 (11), 1213-1218
- https://doi.org/10.1086/507920
Abstract
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; P<.001). Other independent risk factors were prior hospitalization (OR, 3.8; P<.001), transfer from another institution (OR, 2.3; P = .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.Keywords
This publication has 26 references indexed in Scilit:
- Healthcare-AssociatedStaphylococcus aureusBacteremia and the Risk for Methicillin Resistance: Is the Centers for Disease Control and Prevention Definition for Community-Acquired Bacteremia Still Appropriate?Infection Control & Hospital Epidemiology, 2005
- Risk of re-introduction of methicillin-resistant Staphylococcus aureus into the hospital by intrafamilial spread from and to healthcare workersJournal of Hospital Infection, 2005
- Severe Community-Onset Pneumonia in Healthy Adults Caused by Methicillin-Resistant Staphylococcus aureus Carrying the Panton-Valentine Leukocidin GenesClinical Infectious Diseases, 2005
- Carriage of Methicillin-ResistantStaphylococcus aureusAmong Hospital Employees: Prevalence, Duration, and Transmission to HouseholdsInfection Control & Hospital Epidemiology, 2004
- Community-Acquired Methicillin-Resistant Staphylococcus aureus Infection in Singapore Is Usually “Healthcare Associated”Infection Control & Hospital Epidemiology, 2003
- Spread of Methicillin-ResistantStaphylococcus aureus(MRSA) Among Household Contacts of Individuals With Nosocomially Acquired MRSAInfection Control & Hospital Epidemiology, 2003
- Multilocus sequence typing (MLST) shows that the 'Iberian' clone of methicillin-resistant Staphylococcusaureus has spread to France and acquired reduced susceptibility to teicoplaninJournal of Antimicrobial Chemotherapy, 2002
- Multiplex PCR Strategy for Rapid Identification of Structural Types and Variants of the mec Element in Methicillin-Resistant Staphylococcus aureusAntimicrobial Agents and Chemotherapy, 2002
- Population-Based Community Prevalence of Methicillin-Resistant Staphylococcus aureus in the Urban Poor of San FranciscoClinical Infectious Diseases, 2002
- Long-term MRSA carriage in hospital patientsJournal of Hospital Infection, 2000