Hostname: page-component-6bf8c574d5-gr6zb Total loading time: 0 Render date: 2025-02-22T09:42:41.770Z Has data issue: false hasContentIssue false
  • English
  • Français

Hospital-Onset MRSA Bacteremia Rates Are Significantly Correlated With Sociodemographic Factors: A Step Toward Risk Adjustment

Published online by Cambridge University Press:  19 February 2018

Joshua T. Freeman ,
Matthew R. Blakiston  and
Deverick J. Anderson
Joshua T. Freeman*
Affiliation:
Department of Clinical Microbiology, Canterbury District Health Board, Christchurch, New Zealand
Matthew R. Blakiston
Affiliation:
Department of Clinical Microbiology, Auckland District Health Board, Auckland, New Zealand
Deverick J. Anderson
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University Medical Center, Durham, North Carolina
*
Address correspondence to Dr Joshua Freeman, Canterbury Health Laboratories, Canterbury District Health Board, Christchurch, New Zealand ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

The correlations between census-derived sociodemographic variables and hospital-onset methicillin-resistant Staphylococcus aureus bacteremia (HO-MRSAB) rates were examined at the US state level. On multivariable analysis, only percent African American remained statistically significant. This finding highlights an important disparity and suggests that risk adjustment is needed when comparing HO-MRSAB rates among US states.

Infect Control Hosp Epidemiol 2018;39:479–481

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 4 , April 2018 , pp. 479 - 481
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Healthcare Associated Infections (HAI) Progress Report. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/surveillance/progress-report/index.html Published 2016. Accessed June 15, 2017.Google Scholar
2. Tong, SY, Davis, JS, Eichenberger, E, Holland, TL, Fowler, VG. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clin Microbiol Rev 2015;28:603–661.CrossRefGoogle Scholar
3. Laupland, KB, Lyytikainen, O, Sogaard, M, et al. The International Bacteremia Surveillance Collaborative. The changing epidemiology of Staphylococcus aureus bloodstream infection: a multinational population-based surveillance study. Clin Microbiol Infect 2013;19:465–471.CrossRefGoogle Scholar
4. Dantes, R, Mu, Y, Belflower, R, et al. National burden of invasive methicillin-resistant Staphylococcus aureus infections, United States, 2011. JAMA Intern Med 2013;173:1970–1978.Google Scholar
5. Klevens, RM, Morrison, MA, Nadle, J, et al. The Active Bacterial Core Surveillance MRSA Investigators. Invasive methicillin-resistant Staphylococcus aureus infections in the United States. JAMA 2007;298:1763–1771.CrossRefGoogle ScholarPubMed
6. Kallen, AJ, Mu, Y, Bulens, S, et al. Health care–associated invasive MRSA infections, 2005–2008. JAMA 2010;304:641–648.CrossRefGoogle ScholarPubMed
7. Tong, SY, van Hal, SJ, Einsiedel, L, Currie, BJ, Turnidge, JD. Impact of ethnicity and socio-economic status on Staphylococcus aureus bacteremia incidence and mortality: a heavy burden in indigenous Australians. BMC Infect Dis 2012;12:249.CrossRefGoogle ScholarPubMed
8. United States Census Bureau website. https://www.census.gov/. Accessed June 15, 2017.Google Scholar
9. American Community Survey. United States Census Bureau website. https://www.census.gov/programs-surveys/acs/data.html. Published October 2016. Accessed June 15, 2017.Google Scholar
10. Diabetes Atlas. Centers for Disease Control and Prevention website. https://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html. Published 2015. Accessed June 15, 2017.Google Scholar
11. Popovich, KJ, Snitkin, ES, Hota, B, et al. Genomic and epidemiological evidence for community origins of hospital-onset methicillin-resistant Staphylococcus aureus bloodstream infections. J Infect Dis 2017;215:1640–1647.CrossRefGoogle ScholarPubMed