Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Furuno, Jon P. ; Perencevich, Eli N. ; Johnson, Judith A. ; Wright, Marc-Oliver ; McGregor, Jessina C. ; ... More +
Furuno, Jon P. ; Perencevich, Eli N. ; Johnson, Judith A. ; Wright, Marc-Oliver ; McGregor, Jessina C. ; Morris, J. Glenn ; Strauss, Sandra M. ; Roghman, Mary-Claire ; Nemoy, Lucia L. ; Standiford, Harold C. ; Hebden, Joan N. ; Harris, Anthony D. Less -
Description:
We assessed the prevalence, risk factors, and clinical outcomes of patients co-colonized with vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) upon admission to the medical and surgical intensive care units (ICUs) of a tertiary-care facility between January 1, 2002, and December 31, 2003. Co-colonization was defined as a VRE-positive perirectal surveillance culture with an MRSA-positive anterior nares surveillance culture collected concurrently. Among 2,440 patients, 65 (2.7%) were co-colonized. Independent risk factors included age (odds ratio [OR] 1.03, 95% confidence interval [CI] 1.01-1.05), admission to the medical ICU (OR 4.38, 95% CI 2.46-7.81), male sex (OR 1.93, 95% CI 1.14-3.30), and receiving antimicrobial drugs on a previous admission within 1 year (OR 3.06, 95% CI 1.85-5.07). None of the co-colonized patients would have been identified with clinical cultures alone. We report a high prevalence of VRE/MRSA co-colonization upon admission to ICUs at a tertiary-care hospital.
Subjects:
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Aged Colonization Cross Infection Enterococcus Female Gram-Positive Bacterial Infections Humans Intensive Care Unit Intensive Care Units Male Methicillin-Resistant Staphylococcus Aureus Methicillin Resistance Middle Aged Outcomes Prevalence Research Risk Factors Staphylococcal Infections Staphylococcus Aureus Vancomycin-Resistant Enterococci Vancomycin-Resistant Staphylococcus Aureus Vancomycin Resistance
Source:
Emerg Infect Dis. 11(10):1539-1544.
Document Type:
Journal Article
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:d2c23418bb487febdc24d6c6a0bfd31591ab46b8dcad48023d2b485a51702342
Download URL:
https://stacks.cdc.gov/view/cdc/15920/cdc_15920_DS1.pdf
File Type:

Supporting Files

• 	05-0508.nxml	txt
  	license.txt	txt

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