Risk factors for Staphylococcus aureus nasal carriage in residents of three nursing homes in Germany.
The prevalence of Staphylococcus aureus nasal carriage in three nursing homes (N=500) was 36.6%. No meticillin-resistant S. aureus (MRSA) was detected. The following significant risk factors for S. aureus nasal carriage were identified: vascular cognitive impairment [odds ratio (OR)=0.31]; diabetes mellitus (OR=1.82); hypertension (OR=0.30); chronic obstructive pulmonary disease (OR=1.86); stroke (OR=3.31); antibiotic therapy within the previous three months (OR=2.10); and level 2 care (defined as highly dependent, needing help in activities of daily living for up to 4h/day) (OR=1.97). Compared with other countries, the prevalence of MRSA nasal carriage in residents of German nursing homes is low.
Daeschlein
G
G
Institute for Hygiene and Environmental Medicine of the Ernst-Moritz-Arndt-University, Greifswald, Germany.
Assadian
O
O
Rangous
I
I
Kramer
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002353:Carrier State / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D015999:Multivariate Analysis; D009296:Nasal Cavity / Q000382:microbiology*; D009735:Nursing Homes; D010068:Oxacillin / Q000494:pharmacology; D010403:Penicillin Resistance; D015995:Prevalence; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000517:prevention & control
D010068:Oxacillin