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Risk factors associated with methicillin-resistant Staphylococcus aureus skin and soft tissue infections in hospitalized patients in Colombia

Authors :
Sandra Valderrama-Beltrán
Sandra Gualtero
Carlos Álvarez-Moreno
Fabian Gil
Alvaro J. Ruiz
José Yesid Rodríguez
Johanna Osorio
Ivan Tenorio
Carlos Gómez Quintero
Sebastián Mackenzie
María Alejandra Caro
Alberto Zhong
Gerson Arias
Indira Berrio
Ernesto Martinez
Gloria Cortés
Alejandro De la Hoz
Cesar A. Arias
Source :
International Journal of Infectious Diseases, Vol 87, Iss , Pp 60-66 (2019)
Publication Year :
2019
Publisher :
Elsevier, 2019.

Abstract

Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections (SSTIs) represent a major clinical problem in Colombia. The aim of this study was to evaluate the risk factors associated with MRSA SSTI in Colombia. Methods: A multicenter cohort study with nested case–control design was performed. Patients with an SSTI with at least 48 h of inpatient care were included. Patients with an MRSA SSTI were considered the case group and patients with either a non-MRSA SSTI or with an Methicillin-susceptible S. aureus (MSSA) SSTI were the control groups. A multivariate logistic regression approach was used to evaluate risk factors associated with MRSA SSTI with two different statistical models. Results: A total 1134 patients were included. Cultures were positive for 498 patients, of which 52% (n = 259) were Staphylococcus aureus. MRSA was confirmed in 68.3% of the S. aureus cultures. In the first model, independent risk factors for MRSA SSTI were identified as the presence of abscess (P

Details

Language :
English
ISSN :
12019712
Volume :
87
Issue :
60-66
Database :
Directory of Open Access Journals
Journal :
International Journal of Infectious Diseases
Publication Type :
Academic Journal
Accession number :
edsdoj.7044ca5b59cf411e8429d8ce7afa2256
Document Type :
article
Full Text :
https://doi.org/10.1016/j.ijid.2019.07.007