Risk factors for wound infection caused by Methicillin Resistant Staphylococcus aureus among hospitalized patients: a case control study from a tertiary care hospital in India.

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Clinical Guidelines
Authored By
Thimmappa L, Bhat A, Hande M, Mukhopadhyay C, Devi E, Nayak B, George A
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Interests
Infectious Disease & Vaccines
Surgery
Emergency Medicine
Speciality
Surgery
Emergency Medicine
Infectious Disease & Vaccines
Book Detail
volume
21
ISSN
1729-0503
No. of pages
9
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ISSN
1729-0503 ; Electronic
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["Thimmappa L, Bhat A, Hande M, Mukhopadhyay C, Devi E, Nayak B, George A","Publisher: Faculty of Medicine, Makerere University Country of Publication: Uganda NLM ID: 101149451 Publication Model: Print Cited Medium: Internet ISSN: 1729-0503 (Electronic) Linking ISSN: 16806905 NLM ISO Abbreviation: Afr Health Sci Subsets: MEDLINE","Journal Article","2021-03-01","African health sciences [Afr Health Sci] 2021 Mar; Vol. 21 (1), pp. 286-294.","English","1729-0503","Anti-Bacterial Agents\/*pharmacology , Methicillin-Resistant Staphylococcus aureus\/*drug effects , Staphylococcal Infections\/*drug therapy , Wound Infection\/*drug therapy, Adult ; Aged ; Aged, 80 and over ; Female ; Hospitalization ; Humans ; India ; Inpatients ; Male ; Methicillin-Resistant Staphylococcus aureus\/isolation & purification ; Middle Aged ; Wound Infection\/microbiology","Adult, Aged, Aged, 80 and over, Female, Hospitalization, Humans, India, Inpatients, Male, Methicillin-Resistant Staphylococcus aureus isolation & purification, Middle Aged, Wound Infection microbiology, Anti-Bacterial Agents pharmacology, Methicillin-Resistant Staphylococcus aureus drug effects, Staphylococcal Infections drug therapy, Wound Infection drug therapy","African health sciences","21"]
Description
Background: Methicillin Resistant Staphylococcus aureus (MRSA) causes infection in hospitals and communities. The prevalence and risk factors of MRSA infection is not homogenous across the globe.<br />Objective: To find the risk factors of MRSA infection among hospitalized patients.<br />Methods: Cross-sectional case control study was conducted at a tertiary care hospital in India. The risk factors were collected using checklist from 130 MRSA and 130 Methicillin sensitive staphylococcus aureus (MSSA) infected patients. The pathogens were isolated from the wound swabs according to Clinical and Laboratory Standards Institute guidelines.<br />Results: Both the groups were comparable in terms of age, gender, diabetic status, undergoing invasive procedures, urinary catheterization and smoking (p&gt;0.05). Multivariate logistic regression revealed surgical treatment (OR 4.355; CI 1.03, 18.328; p=0.045), prolonged hospitalization (OR 0.307; CI 0.11, 0.832; p=0.020), tracheostomy (OR 5.298, CI 1.16, 24.298; p=0.032), pressure/venous ulcer (OR 7.205; CI 1.75, 29.606; p=0.006) and previous hospitalization (OR 2.883; CI 1.25, 6.631; p=0.013) as significant risk factors for MRSA infection.<br />Conclusion: Surgical treatment, prolonged and history of hospitalization, having tracheostomy for ventilation and pressure/venous ulcer were the key risk factors. Therefore, special attention has to be given to the preventable risk factors while caring for hospitalized patients to prevent MRSA infection.<br /> (© 2021 Thimmappa L et al.)
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