کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2638067 1563477 2015 6 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Health care–associated methicillin-resistant Staphylococcus aureus infections increases the risk of postdischarge mortality
ترجمه فارسی عنوان
عفونت های استافیلوکوکوس اورئوس مقاوم به متی سییلین مرتبط با مراقبت های بهداشتی خطر مرگ و میر پس از ترخیص را افزایش می دهد
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
چکیده انگلیسی

BackgroundAlthough many studies have estimated the impact of health care–associated methicillin-resistant Staphylococcus aureus (MRSA) infections on mortality during initial hospitalization, little is known about the long-term risk of death in these patients. The purpose of this study was to quantify the effect of MRSA health care–acquired infections (HAIs) on mortality after hospital discharge.MethodsOur study cohort consisted of patients with inpatient admission within the U.S. Department of Veterans Affairs system between October 1, 2007, and September 30, 2010. Of these patients, we identified those with a positive MRSA culture from electronic microbiology reports. We constructed multivariable Cox proportional hazards regressions to assess the impact of a positive culture on postdischarge mortality in the 365 days following discharge using both the full cohort and a propensity score–matched subsample.ResultsIn our analysis cohort of 369,743 inpatients, positive MRSA cultures were recorded in 3,599 (1.0%) patients. We found that positive cultures resulted in an increased risk of postdischarge mortality both in the full cohort (hazard ratio = 1.42, P < .001) and in the subset of propensity score–matched patients (hazard ratio = 1.37, P < .0001).ConclusionWe found that MRSA HAIs significantly elevate the long-term risk of mortality. These results underscore the importance of infection prevention efforts in the hospital.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Infection Control - Volume 43, Issue 1, 1 January 2015, Pages 38–43
نویسندگان
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