From: Success rates of MRSA decolonization and factors associated with failure
Total (n = 127) | Initial treatment success (n = 90) | Initial treatment failure (n = 37) | Crude Odds Ratio [95% CI] | P-value uni-variable | Adjusted Odds ratio [95% CI] | P-value multi-variable | |
---|---|---|---|---|---|---|---|
Age, median | 33.0 | 40 | 17 | ||||
Age groups, n (%) | |||||||
0–17 | 35 | 15 (42.9) | 20 (57.1) | 5.62 [2.31–13.65] | < 0.001 | 5.85 [1.80–18.99] | < 0.01 |
18–64 | 73 | 59 (80.8) | 14 (19.2) | Reference | Reference | ||
65 + | 19 | 16 (84.2) | 3 (15.8) | 0.84 [0.20–3.10] | 0.74 | 0.96 [0.19–4.92] | 0.96 |
Gender, n (%) | |||||||
Male Female | 66 61 | 49 (74.2) 41 (67.2) | 17 (25.8) 20 (32.8) | Reference 0.71 [0.31–1.64] | 0.44 | ||
Healthcare worker (HCW), n (%) | |||||||
No Yes | 112 15 | 78 (69.6) 12 (80.0) | 33 (30.4) 3 (20.0) | Reference 0.58 [0.10–2.32] | 0.55 | ||
Contact with livestock, n (%) | |||||||
No Yes/in the past | 105 22 | 71 (67.6) 19 (86.4) | 4 (32.4) 3 (13.6) | Reference 0.33 [0.06–1.24] | 0.12 | ||
Pets | |||||||
No Yes | 92 35 | 65 (70.7) 26 (74.3) | 27 (29.3) 9 (25.7) | Reference 0.96 [0.36–2.43] | 1 | ||
MRSA source, n (%) | |||||||
Unknown a | 22 | 18 (81.8) | 4 (18.2) | Reference | |||
Hospital-acquired | 30 | 22 (73.3) | 8 (26.7) | 1.64 [0.42–6.33] | 0.48 | 1.83 [0.34–9.76] | 0.48 |
Livestock-associated | 21 | 17 (81.0) | 4 (19.0) | 1.06 [0.31–4.92] | 0.94 | 2.02 [0.34–12.01] | 0.44 |
Community-acquired | 33 | 25 (75.8) | 8 (24.8) | 1.44 [0.38–5.52] | 0.60 | 1.98 [0.40–9.84] | 0.40 |
Living in refugee centre | 21 | 8 (38.1) | 13 (61.9) | 7.31 [1.81–29.54] | < 0.01 | 8.43 [1.14–62.56] | 0.04 |
Comorbidity, n (%) b | |||||||
No Yes | 88 39 | 68 (77.3) 22 (56.4) | 20 (22.7) 17 (43.6) | Reference 2.93 [1.13–7.69] | 0.02 | Reference 3.37 [1.24–9.15] | 0.02 |
Chronic pulmonary disease | 10 | 6 (60.0) | 4 (40.0) | 1.69 [0.33–7.66] | 0.48 | ||
Skin disease | 12 | 7 (58.3) | 5 (41.7) | 1.84 [0.43–7.32] | 0.33 | ||
Renal disease c | 7 | 3 (42.9) | 4 (57.1) | 3.48 [0.56–25.01] | 0.19 | ||
Devices d | 18 | 9 (50.0) | 9 (50.0) | 2.87 [0.91–9.08] | 0.05 | ||
AB use in the past 3 months, n (%) e | |||||||
No | 99 | 71 (71.7) | 28 (28.3) | Reference | 0.81 | ||
Yes | 28 | 19 (67.9) | 9 (32.1) | 1.20 [0.42–3.20] | |||
Hospital admission in the Netherlands in the past year, n (%) e | |||||||
No | 101 | 73 (72.3) | 28 (27.7) | Reference | 0.48 | ||
Yes | 26 | 17 (65.4) | 9 (34.6) | 1.38 [0.48–3.74] | |||
Skin lesions, n (%) | |||||||
No | 84 | 58 (69.0) | 26 (31.0) | Reference | 0.68 | ||
Yes | 43 | 32 (74.4) | 11 (25.6) | 0.77 [0.30–1.87] | |||
Travel abroad in the past year, n (%) e,f | |||||||
No | 86 | 64 (74.4) | 22 (25.6) | Reference | 0.22 | ||
Yes | 41 | 26 (65.0) | 15 (36.6) | 1.67 [0.69–4.00] | |||
Type of MRSA carriage, n (%) | |||||||
Uncomplicated carriage | 7 | 5 (71.4) | 2 (5.6) | Reference | |||
Complicated carriage | 91 | 64 (70.3) | 27 (29.7) | 1.05 [0.19–5.78] | 0.95 | ||
Infection & Complicated carriage | 29 | 21 (72.4) | 8 (27.6) | 0.95 [0.15–5.94] | 0.96 | ||
Location of MRSA carriage, n (%) | |||||||
Nasal carriage | 70 | 52 (74.3) | 18 (25.7) | 0.69 [0.30–1.60] | 0.43 | ||
Non-nasal carriage | 57 | 38 (67.9) | 19 (32.1) | 1.44 [0.62–3.35] | 0.43 | ||
Throat carriage | 83 | 56 (67.5) | 27 (32.5) | 1.63 [0.66–4.27] | 0.31 | ||
Perineal carriage | 52 | 41 (78.8) | 11 (21.2) | 0.51 [0.20–1.22] | 0.12 | ||
Other sites | 34 | 26 (76.5) | 8 (23.5) | 0.68 [0.24–1.79] | 0.51 | ||
MLST | |||||||
ST398 | 31 | 25 (80.6) | 6 (19.4) | Reference | |||
ST1 | 5 | 4 (80.0) | 1 (20.0) | 1.04 [0.10–11.09] | 0.97 | ||
ST8 and ST281 g | 9 | 4 (44.4) | 5 (55.6) | 5.21 [1.06–25.50] | 0.04 | ||
ST22 | 15 | 7 (46.7) | 8 (53.3) | 4.76 [1.23–18.37] | 0.02 | ||
ST30 | 13 | 10 (76.9) | 3 (23.1) | 1.25 [0.26–6.00] | 0.78 | ||
ST1933 | 8 | 5 (62.5) | 3 (37.5) | 2.50 [0.46–13.49] | 0.29 | ||
Other or unknown | 46 | 35 (76.1) | 11 (23.9) | 1.31 [0.43–4.01] | 0.64 | ||
PVL positivity, n (%) | |||||||
No Yes | 104 23 | 74 (71.2) 16 (69.6) | 30 (28.8) 7 (28.8) | Reference 1.07 [0.34–3.12] | 1 | ||
Side-effects of treatment | |||||||
No Yes | 104 23 | 73 (70.2) 17 (73.9) | 31 (29.8) 6 (26.1) | Reference 0.83 [0.245–2.48] | 0.80 | ||
Household tested | |||||||
Yes No h | 117 10 | 86 (73.5) 4 (40.0) | 30 (26.5) 6 (60.0) | Reference 4.11 [0.91–21.16] | 0.06 | Reference 7.42 [1.36–40.41] | 0.02 |
Size household | |||||||
1–2 3–5 > 5 and unknown i | 44 57 26 | 36 (81.8) 40 (70.2) 14 (53.8) | 8 (18.2) 17 (29.8) 12 (46.2) | Reference 1.91 [0.74–4.96] 3.86 [1.30–11.44] | 0.18 0.01 | 0.85 [0.21–3.43] 0.53 [0.09–3.03] | 0.82 0.47 |