계명대학교 의학도서관 Repository

Analysis of Methicillin Resistance among Staphylococcus aureus Blood Isolates in an Emergency Department

Metadata Downloads
Author(s)
Sang Taek HeoKyong Ran PeckSeong Yeol RyuKi Tae KwonKwan Soo KoWon Sup OhNam Yong LeeJae-Hoon Song
Keimyung Author(s)
Ryu, Seong Yeol
Department
Dept. of Internal Medicine (내과학)
Journal Title
Journal of Korean Medical Science
Issued Date
2007
Volume
22
Issue
4
Keyword
Staphylococcus aureusCommunity-acquired InfectionsMethicillin ResistanceRisk Factors
Abstract
The increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) has become of great concern in both hospital and community settings. To evaluate the prevalence and risk factors for methicillin resistance among Staphylococcus aureus, blood isolates in our Emergency Department (ED) were collected. All patients with S. aureus bacteremia (SAB) who presented to the ED from January 2000 to August 2005 were included, and a retrospective study was performed. A total of 231 patients with SAB were enrolled (median age, 59 yr; M:F, 125:106). Among these patients, methicillin-resistant strains accounted for 27.3% (63 patients). Catheter-related infection was the most frequent primary site of SAB (39.0%), followed by skin and soft tissue infection (16.5%). In multivariate analysis, recent surgery (OR, 3.41; 95% CI, 1.48-7.85), recent hospitalization (2.17; 1.06-4.62), and older age (≥61 yr) (2.39; 1.25-4.57) were independently associated with the acquisition of methicillin-resistant strains. When antimicrobial therapy is considered for the treatment of a patient with suspected SAB, clinicians should consider obtaining cultures and modifying empirical therapy to provide MRSA coverage for patients with risk factors: older age, recent hospitalization, and recent surgery.
Keimyung Author(s)(Kor)
류성열
Publisher
School of Medicine
Citation
Sang Taek Heo et al. (2007). Analysis of Methicillin Resistance among Staphylococcus aureus Blood Isolates in an Emergency Department. Journal of Korean Medical Science, 22(4), 682–686. doi: 10.3346/jkms.2007.22.4.682
Type
Article
ISSN
1011-8934
DOI
10.3346/jkms.2007.22.4.682
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34087
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.