title: Are nursing homes less likely to admit methicillin-resistant Staphylococcus aureus carriers?
abstract: We surveyed administrators at 13 nursing homes in Orange County, CA, on their likelihood to admit methicillin-resistant Staphylococcus aureus (MRSA) carriers and assessed applicant characteristics associated with rejection. In multivariate models, denial of admission was associated with MRSA carriage (odds ratio, 2.7; P = .02) and receiving lower ratings for overall suitability for admission (odds ratio, 5.9; P < .001). Larger studies are needed to determine whether decolonization may remove barriers to accessing postdischarge care for MRSA carriers.
authors.affiliation: Division of Infectious Diseases, University of California Irvine School of Medicine, Irvine, CA; Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA. Electronic address: courtner@uci.edu.
authors.forename: Courtney
authors.initials: C
authors.lastname: Reynolds
authors.affiliation: Division of Infectious Diseases, University of California Irvine School of Medicine, Irvine, CA; Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA.
authors.forename: Diane
authors.initials: D
authors.lastname: Kim
authors.affiliation: Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA.
authors.forename: Sherrie H
authors.initials: SH
authors.lastname: Kaplan
authors.affiliation: Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA.
authors.forename: Dana B
authors.initials: DB
authors.lastname: Mukamel
authors.affiliation: Division of Infectious Diseases, University of California Irvine School of Medicine, Irvine, CA; Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA.
authors.forename: Eric
authors.initials: E
authors.lastname: Cui
authors.affiliation: Division of Infectious Diseases, University of California Irvine School of Medicine, Irvine, CA; Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA.
authors.forename: Cameron
authors.initials: C
authors.lastname: Lee
authors.affiliation: Division of Infectious Diseases, University of California Irvine School of Medicine, Irvine, CA; Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA.
authors.forename: Susan S
authors.initials: SS
authors.lastname: Huang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002140:California; D002353:Carrier State / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D009735:Nursing Homes; D010343:Patient Admission / Q000706:statistics & numerical data*; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology
keywords: Hospital discharge; Long-term care; MRSA; Postdischarge care