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Risk Factors for Patient Colonization w/ MRSA in a Nursing Home

Purpose: To evaluate a nursing home resident for risk factors associated with MRSA colonization as reported by O'Sullivan and Keane.

Description

O'Sullivan and Keane identified risk factors associated with nursing home residents being colonized with methicillin-resistant Staphylococcus aureus (MRSA). These can help identify patients to screen and monitor more closely over time. The authors are from St. James's Hospital in Dublin.


Risk factors from multivariate analysis:

(1) male gender

(2) pressure sores

 

Additional risk factors:

(1) age > 80 years

(2) residence in nursing home for less than 6 months

(3) history of being hospitalized during the previous 6 months

(4) peripheral vascular disease

(5) therapy with corticosteroids

(6) poor condition of the skin

(7) history of antibiotic therapy during the previous 3 months

(8) mental test score <= 14 (severely impaired)

 

where:

• The mental test performed was not mentioned but is presumed to be the mini-mental examination (see Chapter 18).


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Specialty

Objective

ICD-10