Prediction rules to identify patients with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci upon hospital admission

Jon P Furuno; Anthony D Harris; Marc-Oliver Wright; Jessina C McGregor; Richard A Venezia; Jingkun Zhu; Eli N Perencevich

doi:10.1016/j.ajic.2004.03.009

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Prediction rules to identify patients with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci upon hospital admission

Journal article

Peer reviewed

Prediction rules to identify patients with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci upon hospital admission

Jon P Furuno, Anthony D Harris, Marc-Oliver Wright, Jessina C McGregor, Richard A Venezia, Jingkun Zhu and Eli N Perencevich

American journal of infection control, Vol.32(8), pp.436-440

12/2004

DOI: 10.1016/j.ajic.2004.03.009

PMID: 15573048

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Abstract

In 2003, the Society of Healthcare Epidemiology of America (SHEA) recommended surveillance cultures upon hospital admission for patients at high risk for carriage of vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MRSA). The aim of this study was to assess the validity of factors from past medical history in defining patients at high risk for subsequent positive cultures with VRE or MRSA upon hospital admission. Subjects were adult inpatients admitted to nonintensive care wards of the index hospital during 2001-2002. Cases had MRSA or VRE positive clinical cultures within 48 hours of hospital admission. Patients with previous history of MRSA or VRE were excluded. Nineteen thousand three hundred ninety-nine patients were included, with 273 cases of VRE or MRSA. Previous admission within 1 year of current admission had a sensitivity of 56.8% and a specificity of 88.4% for predicting a case of MRSA or VRE. Individually, the sensitivity and specificity for admission within the past year were 50.5% and 88.4%, respectively, for MRSA and 76.9% and 88.4%, respectively, for VRE. Patients with a previous hospital admission represent a high-risk population for positive culture for VRE and MRSA and may be a group of which active surveillance is indicated.

Staphylococcal Infections - drug therapy

Humans

Middle Aged

Patient Admission

Risk Factors

Vancomycin Resistance

Male

Gram-Positive Bacterial Infections - epidemiology

Algorithms

Staphylococcal Infections - epidemiology

Adult

Female

Aged

Enterococcus - drug effects

Retrospective Studies

Gram-Positive Bacterial Infections - drug therapy

Methicillin Resistance

Staphylococcus aureus - drug effects

Details

Title: Subtitle: Prediction rules to identify patients with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci upon hospital admission
Creators: Jon P Furuno - Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, 100 N. Greene Street, Baltimore, MD 21201, USA. jfuruno@epi.umaryland.edu
Anthony D Harris
Marc-Oliver Wright
Jessina C McGregor
Richard A Venezia
Jingkun Zhu
Eli N Perencevich
Resource Type: Journal article
Publication Details: American journal of infection control, Vol.32(8), pp.436-440
DOI: 10.1016/j.ajic.2004.03.009
PMID: 15573048
NLM abbreviation: Am J Infect Control
ISSN: 0196-6553
eISSN: 1527-3296
Publisher: United States
Grant note: K23 AI 01752-01A1 / NIAID NIH HHS
Language: English
Date published: 12/2004
Academic Unit: Epidemiology; Internal Medicine
Record Identifier: 9983779288602771

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