原创力文档assessment of risk factors related to healthcare-associated methicillin-resistant staphylococcus aureus infection at patient admission to an intensive care unit in japan评估相关的风险因素罹患卫生保健相关耐甲氧西林金黄色葡萄球菌感染病病人在日本进入重症监护室.pdfVIP
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assessment of risk factors related to healthcare-associated methicillin-resistant staphylococcus aureus infection at patient admission to an intensive care unit in japan评估相关的风险因素罹患卫生保健相关耐甲氧西林金黄色葡萄球菌感染病病人在日本进入重症监护室
Yamakawa et al. BMC Infectious Diseases 2011, 11:303
/1471-2334/11/303
RESEARCH ARTICLE Open Access
Assessment of risk factors related to healthcare-
associated methicillin-resistant Staphylococcus
aureus infection at patient admission to an
intensive care unit in Japan
1,2* 2 1 1 1 1
Kazuma Yamakawa , Osamu Tasaki , Miyuki Fukuyama , Junichi Kitayama , Hiroki Matsuda , Yasushi Nakamori ,
1 2 2 3 2
Satoshi Fujimi , Hiroshi Ogura , Yasuyuki Kuwagata , Toshimitsu Hamasaki and Takeshi Shimazu
Abstract
Background: Healthcare-associated methicillin-resistant Staphylococcus aureus (HA-MRSA) infection in intensive care
unit (ICU) patients prolongs ICU stay and causes high mortality. Predicting HA-MRSA infection on admission can
strengthen precautions against MRSA transmission. This study aimed to clarify the risk factors for HA-MRSA
infection in an ICU from data obtained within 24 hours of patient ICU admission.
Methods: We prospectively studied HA-MRSA infection in 474 consecutive patients admitted for more than 2 days
to our medical, surgical, and trauma ICU in a tertiary referral hospital in Japan. Data obtained from patients within
24 hours of ICU admission on 11 prognostic variables possibly related to outcome were evaluated to predict
infection risk in the early phase of ICU stay. Stepwise multivariate logistic regression analysis was used to identify
independent risk factors for HA-MRSA infection.
Results: Thirty patients (6.3%) had MRSA infection, and 444 patients (93.7%) were infection-free. Intubation,
existence of open wound, treatment with antibiotics, and ste
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