文章基本信息

标题：Risk Factors for Methicillin-resistant Staphylococcus Aureus (MRSA) Urinary Tract Infection in a Geriatric Hospital: A Matched Case-control Study
本地全文：下载
作者：Masakazu Washio ; Atsushi Shinkawa ; Katsumi Irie 等
期刊名称：Journal of Epidemiology
印刷版ISSN：0917-5040
电子版ISSN：1349-9092
出版年度：1995
卷号：5
期号：2
页码：95-98
DOI：10.2188/jea.5.95
出版社：Japan Epidemiological Association
摘要：A matched case control study on MRSA urinary tract infection was carried out. The purpose of our study was to evaluate the effect of the use of antibiotics, the use of the third generation cephems, the hypoalbuminemia and the indwelling of catheter on the occurrence of MRSA urinary tract infection among the elderly. From April 1991 to March 1994, there were 8 inpatients who were suffered from MRSA urinary tract infection, which were used as cases. The twenty four age-and ADL-matched inpatients with non-MRSA urinary tract infection, three controls per case, were used as controls. Compared to the non-MRSA patients, the MRSA patients had a larger amount of antibiotics prior to the bacterial culture (1.3±0.9 vs 0.3±0.6, mean±SD, p<0.05). The third generation cephems were more commonly used in the MRSA patients than in the non-MRSA patients (50.0% vs 4.2%, p<0.05). The level of serum albumin was significantly lower in the MRSA patients than in the non-MRSA patients (3.4±0.6 vs 4.0±0.4 g/dl, p<0.05). Even after controlling confounding factor such as hypoalbuminemia, the use of the third generation cephems was a risk for MRSA urinary tract infection among the elderly (OR: 3.37, 95% Cl : 1.11-10.28). In the elderly, use of the third generation cephems seems to be an important risk factor for MRSA urinary tract infection. J Epidemiol , 1995; 5 : 95-98.
关键词：MRSA;urinary tract infection;elderly;albumin;the third generation cephems