文章基本信息

标题：Incidence of Methicillin-resistant Staphylococcus Aureus (MRSA) Isolation in a Geriatric Hospital : A Second Report on the Risk Factors for the Occurrence of MRSA Infection in the Elderly
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作者：Takahiro Yoshimitsu ; Masakazu Washio ; Tomoko Kajioka 等
期刊名称：Journal of Epidemiology
印刷版ISSN：0917-5040
电子版ISSN：1349-9092
出版年度：1994
卷号：4
期号：3
页码：129-132
DOI：10.2188/jea.4.129
出版社：Japan Epidemiological Association
摘要：From April 1992 to March 1993, we examined the results of a bacterial culture from various clinical aspects in 83 elderly inpatients at a geriatric hospital. A case control study was carried out in order to evaluate the various factors which may influence the occurrence of methicillin-resistant Staphylococcus aureus (MRSA) infection. A univariate analysis revealed that a lower ADL score, a great number of antibiotics administration or the use of the third generation cephems increased the risk for MRSA infection. However, a multivariate analysis revealed that the risk for MRSA infection increased only among the patients who received the third generation cephems (OR: 2.80, 95% Cl : 1.40-5.63). Therefore, in the elderly, the use of third generation cephems seems to pose a great risk factor for MRSA infection. The level of total cholesterol, serum albumin or hemoglobin did not differ between the MRSA group and the non-MRSA group. However, among the patients who did not receive the third generation cephems, hypoalbuminemia was a risk for MRSA infection (OR: 2.06, 95% Cl : 1.10-3.85). J Epidemiol , 1994; 4 : 129-132.
关键词：MRSA;ADL;elderly;albumin;the third generation of cephems