Table 2 |
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MRSA prevalence among patients and residents in long-term care facilities |
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|
NO. |
Author (First) |
Study design |
Screening policy |
Results |
Quality Rating3 |
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|
Country, Year of Publication |
Study period, dates (months) |
Study, setting (no. of units) (n) |
Basic number of cases potentially eligible (n) |
Study population (no. of residents) (n) |
Screening methods |
Swabbing sites |
Number of MRSA patients colonised (C) or infected (I) (n) |
Proportion of MRSA |
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|
% MRSA among patients Mean (95% CI)1Range2 |
% MRSA among S. aureus isolates Mean (95% CI)1 |
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|
|
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|
1 |
Baldwin [36] Northern Ireland 2009 |
2005-2006 (9) |
NH-E (45) |
1.678 |
1.1114 |
Non-selective on one day in each unit |
Nares, urine, wounds, inv.devices |
267 (C) |
23.3 (18.8-27.7) Range, 0 to 73 |
Good 1Y; 2Y; 3Y; 4Y; 5Y; 6Y; 7N |
|
|
2 |
Barr [38] UK 2007 |
2005 (2) |
Care homes for the elderly (39) |
1.342 |
7154 |
Non-selective |
Nose |
159 (C) |
22.0 (18.0-27.0) Range, 0 to 50 |
54.0 |
Fair 1N; 2N; 3Y; 4Y; 5Y; 6Y; 7N |
|
3 |
Baum, von [37] Germany 2002 |
1999-2000 (12) |
NH-E (47) |
3.864 |
3.2364 |
Non-selective |
Nares, skin defects |
36 (C) |
1.1 (0.75-1.47) Range, 0 to 18.2 |
Fair 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7N |
|
|
4 |
Brugnaro [39] Italy 2009 |
2006 (1) |
NH-E (2 with 15 units) |
570 |
5514 |
Non-selective on a single day in each unit |
Nares |
43 (C) |
7.8 (5.7-10.4) Range, 0 to 18 |
Fair 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7N |
|
|
5 |
Cretnik [40] Slovenia 2005 |
2001 (1) |
NH-E (1) |
127 |
107 |
Non-selective |
Nares, skin lesions |
10 (C) |
9.3 |
Poor 1N; 2N; 3Y; 4Y; 5N; 6?; 7N |
|
|
6 |
Denis [33] Belgium 2009 |
2005 (9) |
A random sample of NH-E (60) |
NA |
2.953 |
Non-selective on the same day in each unit |
Nares, throat, wounds, cath. urine |
587 (C) |
19.5 (16.4-21.5) Range, 2 to 42.9 |
39.1 |
Fair 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7Y |
|
7 |
Heuck [41] Germany 2000 |
NA |
NH-E (31) |
? |
1.3424 |
Non-selective |
Nares, throat, wounds |
32 (C) |
2.4 Range, 0 to 2.9 |
6.0 |
Poor 1N; 2N; 3Y; 4N; 5N; 6N; 7Y |
|
8 |
Heudorf [42] Germany 2001 |
1999-2000 NA |
NH-E (7); geriatric RC (1) |
? |
NH-E: 359 RC: 424 |
Non-selective |
Nose, throat |
NH-E: 8 (C) RC: 2 (C) |
NH-E: 2.2 RC: 4.8 |
Fair 1N; 2N; 3Y; 4Y; 5Y; 6N; 7Y |
|
|
9 |
Hoefnagels-Schuermans [43] Belgium 2002 |
1997 (3) |
NH-E (17) |
? |
2.857 |
Non-selective; one day sampling in each unit |
Nose, perineum |
141 (C) |
4.9 (4.38-6.09) |
19.1 |
Poor 1N; 2Y; 3N; 4N; 5N; 6Y; 7N |
|
10 |
Neuhaus [44] Germany 2002 |
2000-2001 (12) |
NH-E (61) |
? |
1.0574 |
Non-selective |
Nose, throat, wounds |
32 (C) 3 (I) |
3.0 (2.1-4.2) |
6.3 (4.3-8.8) |
Fair 1Y; 2N; 3Y; 4N; 5N; 6N; 7Y |
|
11/1 |
Woltering [45] Germany 2008 |
NA (4) |
NH-E (5) |
441 |
2654 |
Non-selective on a 2-days period in each unit |
Nose, throat, wounds |
4 (C) |
2.3 (0.8-4.9) |
5.9 |
Good 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7Y |
|
|
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|
1: Pooled mean calculated as a combined prevalence rate over all units with 95% CI. 2: Range within the individual units. 3: Levels for study quality: Good (= 6 and 7 points), fair (= 3 - 5 points), poor (= 1 and 2 points). Numbers belong to the questions as illustrated in Table 1. 4: Participants who were able to give informed consent or informed consent were given by their relatives. Abbreviations: CI, Confidence intervals; N, no; NH-(E), Nursing home for the elderly; RC, Rehabilitation centre; Y, Yes; NA, No Answer; ?, unclear or missing information. |
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Dulon et al. BMC Infectious Diseases 2011 11:138 doi:10.1186/1471-2334-11-138 |
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