Evidence map›Paper›PMID 28068356›Full record

ArticlePloS one2017

MRSA Prevalence and Risk Factors among Health Personnel and Residents in Nursing Homes in Hamburg, Germany - A Cross-Sectional Study.

Claudia Peters, Madeleine Dulon, Olaf Kleinmüller, Albert Nienhaus, Anja Schablon

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Occupational Infection Risk with Multidrug-Resistant Organisms in Health Personnel-A Systematic Review.International journal of environmental research and public health · 2019
    Pooled it
  2. Observational
  3. Article
  4. Article
  5. [Therapy-relevant antibiotic resistances in a One Health context].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
    Review
  6. Genetic Identification of Methicillin-ResistantInternational journal of microbiology · 2023
    Article
  7. Article
  8. Review
  9. High prevalence nasal carriage of methicillin-resistantInfection prevention in practice · 2021
    Article
  10. Article
  11. Nasal Carriage of Methicillin-ResistantInternational journal of microbiology · 2021
    Article
  12. Molecular Epidemiology of Methicillin-ResistantInfection and drug resistance · 2021
    Article
  13. Article
  14. Transmission and Long-Term Colonization Patterns ofInternational journal of environmental research and public health · 2020
    Article
  15. Article
  16. Molecular Diversity ofPolish journal of microbiology · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Claudia PetersInstitute for Health Services Research in Dermatology and Nursing, CVcare, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Madeleine DulonDepartment of Occupational Health Research, Institution for Statutory Accident Insurance and Prevention in Healthcare and Welfare, Hamburg, Germany.
Olaf KleinmüllerInstitute for Health Services Research in Dermatology and Nursing, CVcare, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Albert NienhausInstitute for Health Services Research in Dermatology and Nursing, CVcare, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Anja SchablonInstitute for Health Services Research in Dermatology and Nursing, CVcare, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe increase of multidrug-resistant organisms in hospitals causes problems in nursing homes. Staff in geriatric nursing homes are at greater risk of MRSA colonisation. The aim of the study was to describe the occupational exposure to MRSA among health personnel in geriatric nursing.

methodsA point prevalence survey was conducted among health personnel and residents of geriatric nursing homes within the greater Hamburg district. Nasal swabs and, where relevant, wound swabs were collected for the screening survey. Risk factors for MRSA colonisation were identified by means of a questionnaire and using the files held on the residents. Where tests on nursing staff were positive, a control swab was taken; when the results were confirmed positive, decolonisation was performed. The responsible general practitioners were notified of positive MRSA findings among residents. A molecular biological examination of the MRSA samples was performed.

resultsA total of 19 institutions participated in the study. Nasal swabs were taken from 759 nursing staff and 422 residents. Prevalence of MRSA was 1.6% among staff and 5.5% among residents. MRSA colonisation among health personnel indicated a correlation with male gender (OR 4.5, 95% CI 1.4-14.1). Among the residents, chronic skin diseases (OR 3.2, 95% CI 1.0-10.3) and indwelling devices (OR 3.2, 95% CI 1.2-8.1) were identified as risk factors. No link between MRSA in residents and in health personnel could be established.

conclusionThe number of MRSA colonisations among nursing staff and residents of geriatric nursing homes in Hamburg was rather low at 1.6% and 5.5% respectively and equates to the results of other surveys in non-outbreak scenarios.

Indexed as

Health PersonnelMethicillin-Resistant Staphylococcus aureusNursing HomesCarrier StateCross InfectionCross-Sectional StudiesFemaleGermanyHumansMaleOdds RatioPrevalenceRisk FactorsStaphylococcal Infections

Identifiers

PMID28068356
PMCPMC5222188

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.