title: MRSA colonisation in spinal cord injury: implications on patients rehabilitation.
abstract: MRSA has become a major cause of nosocomial and community acquired infections in the past few years. Our hypothesis is that MRSA colonisation affects the length of stay in hospital, thereby adding a strain on resources. Data from the last 20 patients admitted to the Spinal Injury Care Unit (SICU) who were MRSA positive (study group) have been analysed and then matched with data from 20 patients who were MRSA negative (control group) to compare their total hospital stay and the factors which affect the length of hospital stay. The mean age of the study group patients was 38.8 years. The average time between injury and admission in SICU was 76.5 days in the study group compared to 28.7 days in the control. The mean stay duration was 412.15 days in the study group as opposed to 187.2 days in the control group. Nearly 45% had developed pressure sores in the study group as compared to 25% in the control group. Our study indicates that MRSA colonisation in spinal injured patients leads to longer hospital stay, delay in admission to spinal care units, and development of pressure sores and further infection. These factors have adverse effects on patients' rehabilitation.
authors.affiliation: Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK. hhassouna@gmail.com
authors.forename: Hazem
authors.initials: H
authors.lastname: Hassouna
authors.forename: Ehsan Ul
authors.initials: EU
authors.lastname: Haq
authors.forename: Angela
authors.initials: A
authors.lastname: Gall
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D007902:Length of Stay; D016106:Methicillin Resistance; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000382:microbiology* / Q000534:rehabilitation*; D013203:Staphylococcal Infections / Q000150:complications; D013211:Staphylococcus aureus / Q000187:drug effects / Q000254:growth & development*