title: Admission prevalence and acquisition of nasal carriage of meticillin-resistant Staphylococcus aureus (MRSA) in German rehabilitation centres.
abstract: This prospective multi-centre study assessed nasal colonization with meticillin-resistant Staphylococcus aureus (MRSA) among patients on admission to and discharge from 11 rehabilitation centres in Germany. On admission, 71 of 5896 patients (1.2%) carried MRSA. History of MRSA carriage [odds ratio (OR) 4.3, 95% confidence interval (CI) 1.8-10.6], hospitalization within the previous six months (OR 2.5, 95% CI 1.2-5.2), contact with pigs (OR 22.5, 95% CI 11.1-45.7) and presence of chronic wounds (OR 4.7, 95% CI 1.9-12.0) were independently associated with MRSA. On discharge, 0.3% of the patients had acquired MRSA.
authors.affiliation: Institute of Hygiene, University Hospital Münster, Münster, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Köck
authors.affiliation: Institute of Hygiene, University Hospital Münster, Münster, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Winner
authors.affiliation: Institute of Medical Microbiology, University Hospital Münster, Münster, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Schaumburg
authors.affiliation: NRW Centre for Health, Münster, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Jurke
authors.affiliation: Department of Medical Microbiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
authors.forename: J W
authors.initials: JW
authors.lastname: Rossen
authors.affiliation: Department of Medical Microbiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands. Electronic address: alex.friedrich@umcg.nl.
authors.forename: A W
authors.initials: AW
authors.lastname: Friedrich
mesh_terms: D000368:Aged; D002353:Carrier State / Q000453:epidemiology* / Q000382:microbiology; D015331:Cohort Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D015995:Prevalence; D011446:Prospective Studies; D012047:Rehabilitation Centers; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000382:microbiology
keywords: Germany; MRSA; Rehabilitation