Prevalence and acquisition rate of methicillin resistant Staphylococcus aureus (MRSA) in internal medicine wards at the University Hospital of Geneva (HUG)
© Koessler et al; licensee BioMed Central Ltd. 2011
Published: 29 June 2011
Introduction / objectives
We aimed to determine the prevalence and acquisition rate of MRSA among patients admitted to internal medicine ward at HUG.
Patients consecutively admitted to 13 medical wards from March-June 2010 were screened for MRSA using pooled axilla and groin swabs within 48 h of admission and 36 h of discharge.
Among 1967 patients, swabs were collected in 1740 (88%) at admission and 712 (36%) at discharge; with 687 (35%) having both. Mean age was 64 years; 58% were male. 4.8% (84/1740) of patients were MRSA positive on admission, of which 79% -for whom data were available (43/54)- had been MRSA positive on screening in the previous 6 months. Of patients who were not MRSA positive at admission, 5.8% (29/496) had previous carriage. MRSA carriage at admission was associated with age (p=0.0016, Wilcoxon rank sum test) and a positive MRSA swab in the previous 6 months (χ2 233, p<0.0001). 3.8% (27/710) of patients acquired MRSA during hospital stay - having a positive MRSA swab on discharge but not on admission. By Wilcoxon rank sum test, MRSA acquisition was associated with length of hospital stay (p=0.0009) and age (p=0.0087). No association was found between MRSA carriage or acquisition and sex, provenance, antibiotic use, requirement of intensive or high dependency care and type of medical ward.
4.8% of patients admitted to general medical wards at our hospital were MRSA positive, the majority of these patients had previous MRSA carriage. 3.8% of patients acquired MRSA during hospital stay.
Disclosure of interest
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.