Document Detail

An investigation of the risk factors for infection with methicillin-resistant Staphylococcus aureus among patients in a neonatal intensive care unit.
MedLine Citation:
PMID:  19535174     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aims of this study were to investigate the risk factors of methicillin-resistant Staphylococcus aureus (MRSA) infection among infants to establish effective infection control measures for neonatal intensive care unit (NICU). METHODS: Data were prospectively collected from 961 infants hospitalized in a teaching hospital in Japan, from July 2002 through December 2005. RESULTS: Among all infants, 28 (2.9%) developed MRSA infections. Multivariate logistic regression analyses demonstrated the risk factors for developing MRSA infections to include a low birth weight (odds ratio [OR], 0.91; 95% confidence interval [CI]: 0.93-0.99), the presence of eye mucous (OR, 6.78; 95% CI: 2.87-16.01), the practice of kangaroo mother care (OR, 3.82; 95% CI: 1.11-13.13), and the MRSA colonization rate (OR, 11.12; 95% CI: 1.32-93.89). CONCLUSION: The risk factors for developing a MRSA infection among infants in NICU were a low birth weight, the presence of eye mucous, the practice of kangaroo mother care, and a high MRSA colonization rate. Therefore, extra attention should be given to infants in high-risk groups demonstrating a low birth weight and the presence of eye mucous and who have undergone kangaroo mother care. As a result, the cohort isolation of infants with MRSA may therefore be an effective strategy to prevent MRSA infections.
Haruyo Sakaki; Midori Nishioka; Katsuya Kanda; Yasuko Takahashi
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Publication Detail:
Type:  Journal Article     Date:  2009-06-17
Journal Detail:
Title:  American journal of infection control     Volume:  37     ISSN:  1527-3296     ISO Abbreviation:  Am J Infect Control     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-31     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  580-6     Citation Subset:  IM    
Department of Nursing Administration, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
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MeSH Terms
Birth Weight / immunology,  physiology
Carrier State / microbiology,  prevention & control
Cross Infection / epidemiology*,  microbiology,  prevention & control
Disease Susceptibility
Hospitals, Teaching
Infant Care / methods
Infant, Low Birth Weight
Infant, Newborn
Infection Control
Intensive Care Units, Neonatal / statistics & numerical data*
Japan / epidemiology
Logistic Models
Methicillin-Resistant Staphylococcus aureus*
Multivariate Analysis
Odds Ratio
Prospective Studies
Risk Factors
Staphylococcal Infections / epidemiology*,  microbiology,  prevention & control

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