ArticleEpidemiology and infection2019
Length of stay and odds of MRSA acquisition: a dose-response relationship?
Article in Epidemiology and infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nasopharyngeal Methicillin-Resistant <italic>Staphylococcus aureus</italic> Carriage and Risk of Percutaneous Endoscopic Gastrostomy-Related Infection: A Systematic Review and Meta-Analysis.Digestive diseases (Basel, Switzerland) · 2026Pooled it
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- Hospitalizations among family members increase the risk of MRSA infection in a household.Infection control and hospital epidemiology · 2024Article
- Understanding the Drivers of Cost and Length of Stay in a Cohort of 21,875 Patients with Severe Burn.Journal of burn care & research : official publication of the American Burn Association · 2024Article
- Minimally invasive approach associated with lower resource utilization after aortic and mitral valve surgery.JTCVS open · 2023Article
- Leaving the hospital on time: hospital bed utilization and reasons for discharge delay in the Netherlands.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Article
- A Sequalae of Lineage Divergence inDiagnostics (Basel, Switzerland) · 2023Article
- Applying Lean Healthcare in the hospitalization and patient discharge process: an integrative review.Revista brasileira de enfermagem · 2023Review
- Opportunistic etiological agents causing lung infections: emerging need to transform lung-targeted delivery.Heliyon · 2022Review
- Risk factors associated with development of coinfection in critically Ill patients with COVID-19.Acute and critical care · 2022Article
- Early Discharge After Minimally Invasive Aortic and Mitral Valve Surgery.The Annals of thoracic surgery · 2022Article
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- Is it a matter of time? The effect of transfer time on femur fracture outcomes.Trauma surgery & acute care open · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The association between methicillin-resistant Staphylococcus aureus (MRSA) colonisation and/or infection with increased morbidity and mortality among hospital patients has long been recognised. We sought to build on previous studies to identify modifiable risk factors associated with the acquisition of MRSA colonisation and infection by conducting a retrospective cohort study on patients admitted through the Emergency Department of an acute tertiary-care general hospital in Singapore which implemented universal on-admission MRSA screening. Patients were assigned to the acquisition or non-acquisition group depending on whether they acquired MRSA during their admission. We used logistic regression models with a patient being in the acquisition group as the binary outcome to identify factors associated with MRSA acquisition. A total of 1302 acquisition and 37 949 non-acquisition group patients were analysed. Fifteen variables were included in the multivariate model. A dose-response relationship between length of stay and odds of MRSA acquisition was observed, with a length of stay 3 weeks or more (Adj OR 11.78-57.36, all P < 0.001) being the single biggest predictor of MRSA acquisition. Other variables significantly associated with MRSA acquisition were: male gender, age 65 or greater, previous MRSA colonisation or infection, exposure to certain antibiotics and surgery, and history of diabetes.
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