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General Orthopaedics

Methicillin-resistant Staphylococcus aureus in orthopaedic trauma

IDENTIFICATION OF RISK FACTORS AS A STRATEGY FOR CONTROL OF INFECTION



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Abstract

We have conducted a case-control study over a period of ten years comparing both deep infection with methicillin-resistant staphylococcus aureus (MRSA) and colonised cases with a control group.

Risk factors associated with deep infection were vascular diseases, chronic obstructive pulmonary disease, admission to a high-dependency or an intensive-care unit and open wounds. Those for colonisation were institutional care, vascular diseases and dementia. Older age was a risk factor for any MRSA infection. The length of hospital stay was dramatically increased by deep infection.

These risk factors are useful in identifying higher-risk patients who may be more susceptible to MRSA infection. A strategy of early identification and isolation may help to control its spread in trauma units.


Correspondence should be sent to Dr D. T. M. Fascia; e-mail: danielfascia@gmail.com

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