Risk factors for methicillin-resistant Staphylococcus aureus skin and soft-tissue infections in outpatients in Taiwan

Information on the risk factors for community-associated skin and soft-tissue infections (SSTIs) due to methicillin-resistant Staphylococcus aureus in Asian populations is scarce. To this end we performed a case-control study of patients treated at two hospital-affiliated outpatient clinics in Taiwa...

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Bibliographic Details
Published in:Epidemiology and infection 2015-03, Vol.143 (4), p.749-753
Main Authors: CHOU, Y.-H., LEE, M.-S., LIN, R.-Y., WU, C.-Y.
Format: Article
Language:English
Subjects:
Abscesses
Adult
Antibiotic-resistant infections
Antibiotics
Carrier State - epidemiology
Carrier State - microbiology
Case-Control Studies
Erythema
Female
Hospitals
Humans
Long term health care
Male
Methicillin-Resistant Staphylococcus aureus
Microbial Sensitivity Tests
Middle Aged
Outpatients - statistics & numerical data
Pathogens
Patients
Regression analysis
Risk Factors
Sex Factors
SHORT REPORT
Skin diseases
Soft Tissue Infections - epidemiology
Soft Tissue Infections - etiology
Soft Tissue Infections - microbiology
Staphylococcal Infections - epidemiology
Staphylococcal Infections - etiology
Staphylococcal Skin Infections - epidemiology
Staphylococcal Skin Infections - etiology
Staphylococcus infections
Taiwan - epidemiology
Variables
Workers
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Summary:Information on the risk factors for community-associated skin and soft-tissue infections (SSTIs) due to methicillin-resistant Staphylococcus aureus in Asian populations is scarce. To this end we performed a case-control study of patients treated at two hospital-affiliated outpatient clinics in Taiwan to determine potential risk factors for MRSA SSTIs. S. aureus was isolated from 39 of 100 eligible patients, and 74% were MRSA. Apart from resistance to clindamycin and erythromycin, most MRSA isolates were susceptible to appropriate antimicrobials. The significant risk factors identified by multivariate analysis for MRSA SSTIs were male gender (P = 0·09), nasal carriage of MRSA (P = 0·02), exposure to an individual who had surgery within a year before infection (P = 0·02), and antibiotic treatment for SSTI in the year before infection (P = 0·04). The identification of such factors may assist provision of appropriate treatment to patients with suspected S. aureus SSTIs particularly in Taiwan.
ISSN:0950-2688
1469-4409
DOI:10.1017/S0950268814001642