老人保健施設からケアミックス型病院に入院してくる患者のMRSA保有率の現状

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Currently, methicillin-resistant staphylococcus aureus (MRSA) has been widely colonized, especially in immunocompetent aged people. We wonder if patients from nursing homes are more prevalent as MRSA carriers. We sequentially assessed the presence/absence of MRSA using throat culture from patients who were hospitalized in our hospital from the 1 April, 2002 to 30 September, 2002. The total number of patients was 190, of which 40 were from nursing homes, 69 from another hospital having an emergency section, and 81 from their own homes, respectively. There were 25 subjects who had acute pneumonia; 12 from nursing homes, 8 from their own homes, and 5 from another hospital having an emergency section. Eighteen MRSA carriers were found and 8 of 18 came from nursing homes (20% of all the cases from nursing homes), 8 from another hospital (12%), and 2 from their own homes. 8 of 18 MRSA carriers who had acute pneumonia were successfully treated with Vancomycin, meaning 8 patients had MRSA-induced pneumonia. In terms of daily activity, 45 cases were bed-bound, 73 were using wheelchairs and 72 were ambulatory and the rate of being an MRSA carrier was in the following order, 11 (24% of all bed-bound), 6 (8%), and 2 (2.4%). There was no relationship between gender or dementia and being an MRSA carrier. We concluded that patients from nursing homes have increased prevalence of being MRSA carriers, especially those who have disturbances in terms of daily activity.
福井大学の論文
2003-12-19

老人保健施設からケアミックス型病院に入院してくる患者のMRSA保有率の現状

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