1. High Nasal Burden of Methicillin-Resistant Staphylococcus aureus Increases Risk of Invasive Disease
- Author
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Datta, Rupak, Shah, Atia, Huang, Susan S, Cui, Eric, Nguyen, Vinh, Welbourne, Susan J, Quan, Kathleen A, and Thrupp, Lauri
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Antimicrobial Resistance ,Infectious Diseases ,Biodefense ,Clinical Research ,Emerging Infectious Diseases ,2.2 Factors relating to the physical environment ,Adolescent ,Adult ,Aged ,Aged ,80 and over ,Bacterial Load ,Carrier State ,Cohort Studies ,Female ,Humans ,Male ,Methicillin-Resistant Staphylococcus aureus ,Middle Aged ,Nasal Mucosa ,Prevalence ,Retrospective Studies ,Risk Assessment ,Staphylococcal Infections ,Young Adult ,linezolid ,pseudomonic acid ,tigecycline ,vancomycin ,adult ,aged ,antibiotic resistance ,article ,bacterial colonization ,bacterium culture ,bacterium detection ,blood culture ,cohort analysis ,disease course ,female ,human ,infection risk ,major clinical study ,male ,methicillin resistant Staphylococcus aureus infection ,nose ,priority journal ,retrospective study ,teaching hospital ,throat culture ,urine culture ,Biological Sciences ,Agricultural and Veterinary Sciences ,Medical and Health Sciences ,Microbiology ,Clinical sciences ,Medical microbiology - Abstract
In a retrospective cohort study of 1,140 patients harboring methicillin-resistant Staphylococcus aureus, the nasal burden was low in 31%, category 1+ to 2+ in 54%, and category 3+ to 4+ in 15%. There was a significant trend in infection risk with increasing nasal burden (P = 0.007). In multivariate models, high nasal burden remained significantly associated with invasive infection.
- Published
- 2014