Persistence of meticillin-resistant Staphylococcus aureus carriage in re-admitted patients

J Hosp Infect. 2018 Nov;100(3):350-354. doi: 10.1016/j.jhin.2018.04.001. Epub 2018 Apr 9.

Abstract

A retrospective cohort study was conducted to investigate the duration and risk factors for persistence of meticillin-resistant Staphylococcus aureus (MRSA) colonization among known carriers who were re-admitted to hospital. MRSA carriage persisted in a high proportion of known carriers up to two years after their last date of discharge, and re-admission screening should be performed for at least this duration. A targeted screening approach should focus on older patients with a history of long inpatient stays, who are at higher risk of persistent carriage. Timely discharge planning is important in reducing the risk of persistent MRSA colonization among known carriers.

Keywords: Meticillin-resistant Staphylococcus aureus; Nosocomial infection; Screening.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Carrier State / epidemiology*
  • Carrier State / microbiology*
  • Female
  • Humans
  • Male
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification*
  • Patient Readmission
  • Retrospective Studies
  • Risk Factors
  • Staphylococcal Infections / epidemiology*
  • Staphylococcal Infections / microbiology*
  • Time Factors