ArticleInfection control and hospital epidemiology2012
The epidemiology of methicillin-resistant Staphylococcus aureus on a burn trauma unit.
Article in Infection control and hospital epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Molecular concordance of methicillin-resistantInfection control and hospital epidemiology · 2023Article
- Transmission pathways of multidrug-resistant organisms in the hospital setting: a scoping review.Infection control and hospital epidemiology · 2019Article
- Molecular Characterization of Community-Associated Methicillin-ResistantIranian journal of pathology · 2019Article
- Incidence of methicillin resistantGerms · 2018Article
- Prevalence of vancomycin resistantTzu chi medical journalArticle
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectiveWe assessed the frequency and relatedness of methicillin-resistant Staphylococcus aureus (MRSA) isolates to determine whether healthcare workers, the environment, or admitted patients could be a reservoir for MRSA on a burn trauma unit (BTU). We also assessed risk factors for MRSA colonization among BTU patients.
designProspective cohort study and surveillance for MRSA carriage.
settingBTU of a Midwestern academic medical center. PATIENTS AND
participantsPatients admitted to a BTU from February 2009 through January 2010 and healthcare workers on this unit during the same time period.
methodsSamples for MRSA culture were collected on admission from the nares and wounds of all BTU patients. We also had collected culture samples from the throat, axilla, antecubital fossa, groin, and perianal area of 12 patients per month. Samples collected from healthcare workers' nares and from environmental sites were cultured quarterly. MRSA isolates were typed by pulsed-field gel electrophoresis.
resultsOf 144 patients, 24 (17%) carried MRSA in their nares on admission. Male sex (odds ratio [OR], 5.51; 95% confidence interval [95% CI], 1.25-24.30), admission for necrotizing fasciitis (OR, 7.66; 95% CI, 1.64-35.81), and MRSA colonization of a site other than the nares (OR, 23.40; 95% CI, 6.93-79.01) were independent predictors of MRSA nasal carriage. Cultures of samples collected from 4 healthcare workers and 4 environmental cultures had positive results. Two patients were colonized with strains that were indistinguishable from strains collected from a healthcare worker or the environment.
conclusionsPatients were a major reservoir for MRSA. Infection control efforts should focus on preventing transmission of MRSA from patients who are MRSA carriers to other patients on the unit.
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Registered trials
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