Epidemiology and risk factors for Hospital-acquired methicillin-resistant Staphylococcus aureus among burn patients

Meghann L. Kaiser, Deborah J. Thompson, Darren Malinoski, Christopher Lane, Marianne E. Cinat

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a substantial source of morbidity among burn patients. The objectives of this study were to determine the feasibility and efficacy of surveillance cultures and isolation precautions on limiting the transmission of MRSA among burn patients and to determine risk factors for the development of hospital-acquired MRSA (HA-MRSA). All patients admitted to the burn service from January 2007 to June 2009 were screened by nasal swab culture on admission and weekly thereafter. Other sites were cultured based on clinical suspicion. Patients with MRSA were immediately placed on isolation precautions. Community-acquired MRSA (CA-MRSA) and HA-MRSA were defined as identification of the organism 7 days (odds ratio [OR] 12.0, 95% confidence interval [CI] 1.6-91), TBSA affected >10% (OR 6.1, CI 2.6-14.2), age >30 years (OR 4.9, CI 2.0-12.0), and inhalation injury (OR 3.5, CI 1.0-11.7). Surveillance cultures with isolation precautions are practical and effective for preventing HA-MRSA among burn patients. Older patients with prolonged hospital stays, large wounds, and inhalation injury are at greatest risk.

Original languageEnglish (US)
Pages (from-to)429-434
Number of pages6
JournalJournal of Burn Care and Research
Volume32
Issue number3
DOIs
StatePublished - May 2011
Externally publishedYes

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Methicillin-Resistant Staphylococcus aureus
Epidemiology
Odds Ratio
Confidence Intervals
Inhalation
Wounds and Injuries
Nose
Length of Stay
Morbidity

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery

Cite this

Epidemiology and risk factors for Hospital-acquired methicillin-resistant Staphylococcus aureus among burn patients. / Kaiser, Meghann L.; Thompson, Deborah J.; Malinoski, Darren; Lane, Christopher; Cinat, Marianne E.

In: Journal of Burn Care and Research, Vol. 32, No. 3, 05.2011, p. 429-434.

Research output: Contribution to journalArticle

Kaiser, Meghann L. ; Thompson, Deborah J. ; Malinoski, Darren ; Lane, Christopher ; Cinat, Marianne E. / Epidemiology and risk factors for Hospital-acquired methicillin-resistant Staphylococcus aureus among burn patients. In: Journal of Burn Care and Research. 2011 ; Vol. 32, No. 3. pp. 429-434.
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