From: Success rates of MRSA decolonization and factors associated with failure
Total (n = 107) | Final treatment success (n = 79) | Final treatment failure (n = 28) | Crude Odds Ratio [95% CI] | P-value uni-variable | Adjusted Odds Ratio [95% CI] | P-value multi-variable | |
---|---|---|---|---|---|---|---|
Age, median | 33 | 39 | 15 | ||||
Age groups, n (%) | |||||||
0–17 | 30 | 13 (43.3) | 17 (56.7) | 6.41 [2.38–17.28] | < 0.001 | 4.97 [1.10–22.48] | 0.04 |
18–64 | 61 | 51 (83.6) | 10 (16.4) | Reference | Reference | ||
65 + | 16 | 15 (93.8) | 1 (6.3) | 0.33 [0.04–2.43] | 0.30 | 0.88 [0.08–10.20] | 0.09 |
Gender, n (%) | |||||||
Male Female | 57 50 | 40 (70.2) 39 (78.0) | 17 (29.8) 11 (22.0) | Reference 1.50 [0.57–4.05] | 0.39 | ||
Healthcare worker (HCW), n (%) | |||||||
No Yes | 94 13 | 66 (70.2) 13 (100.0) | 28 (29.8) 0 (0.0) | Reference 0.00 [not applicable] | |||
Contact with livestock, n (%) | |||||||
No Yes/in the past | 88 19 | 62 (70.5) 17 (89.5) | 26 (29.5) 2 (10.5) | Reference 0.27 [0.03–1.29] | 0.09 | ||
Pets | |||||||
No Yes | 76 31 | 56 (73.7) 23 (74.2) | 20 (26.3) 8 (25.8) | Reference 0.94 [0.31–2.64] | 1 | ||
MRSA source, n (%) | |||||||
Unknown a | 20 | 17 (85.0) | 3 (15.0) | Reference | Reference | ||
Hospital-acquired | 26 | 21 (80.8) | 5 (19.2) | 1.27 [0.25–5.76] | 0.77 | 1.24 [0.15–10.51] | 0.84 |
Livestock-associated | 18 | 16 (88.9) | 2 (11.1) | 0.67 [0.09–4.28] | 0.68 | 1.76 [0.20–15.68] | 0.61 |
Community-acquired | 29 | 24 (82.8) | 5 (17.2) | 1.16 [0.24–5.49] | 0.85 | 1.21 [0.19–7.85] | 0.84 |
Living in refugee centre | 14 | 1 (7.1) | 13 (92.9) | 69.33 [6.43–748.07] | < 0.001 | 39.81 [2.72–582.86] | < 0.01 |
Comorbidity, n (%) b | |||||||
No Yes | 71 36 | 57 (80.3) 22 (61.1) | 14 (19.7) 14 (38.9) | Reference 2.48 [0.93– 6.67] | 0.06 | Reference 4.72 [1.25–17.92] | 0.02 |
Chronic pulmonary disease | 9 | 5 (55.6) | 4 (44.4) | 2.38 [0.44–12.07] | 0.24 | ||
Skin disease | 11 | 6 (54.5) | 5 (45.5) | 2.55 [0.56–11.09] | 0.16 | ||
Renal disease c | 6 | 4 (66.4) | 2 (33.3) | 1.40 [0.12–10.44] | 0.66 | ||
Devices d | 17 | 10 (58.8) | 7 (41.2) | 2.21 [0.63–7.42] | 0.15 | ||
AB use in the past 3 months, n (%) e | |||||||
No Yes | 85 22 | 64 (75.3) 15 (68.2) | 21 (24.7) 7 (31.8) | Reference 1.49 [0.45–4.63] | 0.58 | ||
Hospital admission in the Netherlands in the past year, n (%) e | |||||||
No Yes | 84 23 | 63 (75.0) 16 (69.6) | 21 (25.0) 7 (30.4) | Reference 1.27 [0.39–3.84] | 0.79 | ||
Skin lesions, n (%) | |||||||
No Yes | 67 40 | 48 (71.6) 31 (77.5) | 19 (28.4) 9 (22.5) | Reference 0.879 [0.27–2.12] | 0.65 | ||
Travel abroad in the past year, n (%) e,f | |||||||
No | 72 | 59 (81.9) | 13 (18.1) | Reference | Reference | ||
Yes | 35 | 20 (57.1) | 15 (42.9) | 3.48 [1.29–9.60] | > 0.01 | 3.20 [0.70–14.54] | 0.13 |
Type of MRSA carriage, n (%) | |||||||
Uncomplicated carriage Complicated carriage Infection & Complicated carriage | 7 74 26 | 4 (57.1) 56 (75.7) 19 (73.1) | 3 (42.9) 18 (24.3) 7 (26.9) | Reference 0.43 [0.09–2.10] 0.55 [0.10–3.12] | 0.30 0.50 | ||
Location of MRSA carriage, n (%) | |||||||
Nasal carriage | 61 | 45 (73.8) | 16 (26.2) | 1.00 [0.39–2.66] | 1 | 0.50 [0.13–1.93] | 0.32 |
Non-nasal carriage | 46 | 34 (73.9) | 12 (26.1) | 1.00 [0.38–2.61] | 1 | ||
Throat carriage | 68 | 51 (75.0) | 17 (25.0) | 0.79 [0.30–2.16] | 0.65 | ||
Perineal carriage | 45 | 38 (84.4) | 7 (15.6) | 0.36 [0.12–1.02] | 0.04 | ||
Other sites | 31 | 23 (74.2) | 8 (25.8) | 1.07 [0.35–3.02] | 1 | ||
MLST | |||||||
ST398 | 28 | 24 (85.7) | 4 (14.3) | Not applicable | |||
ST1 | 5 | 4 (80.0) | 1 (20.0) | ||||
ST8 and ST281 g | 8 | 4 (50.0) | 4 (50.0) | ||||
ST22 | 11 | 4 (36.4) | 7 (63.6) | ||||
ST30 | 12 | 10 (83.3) | 2 (16.7) | ||||
ST1933 | 3 | 1 (33.3) | 2 (25.0) | ||||
Other or Unknown | 40 | 32 (80.0) | 8 (20.0) | ||||
PVL positivity, n (%) | |||||||
No Yes | 86 21 | 64 (74.4) 15 (71.4) | 22 (25.6) 6 (28.6) | Reference 1.34 [0.37–4.36] | 0.58 | ||
Side-effects of treatment | |||||||
No Yes | 87 20 | 61 (70.1) 18 (90.0) | 26 (29.9) 2 (10.0) | Reference 0.25 [0.03–1.19] | 0.09 | 0.36 [0.04–3.06] | 0.35 |
Household tested | |||||||
Yes No h | 97 10 | 74 (76.3) 5 (50.0) | 23 (23.7) 5 (50.0) | Reference 3.13 [0.83–11.78] | 0.09 | Reference 5.41 [0.70–41.86] | 0.11 |
Size household | |||||||
1–2 3–5 > 5 and unknowni | 39 50 18 | 32 (82.1) 39 (78.0) 8 (44.4) | 7 (17.9) 11 (22.0) 10 (55.6) | Reference 1.21 [0.42–3.49] 5.36 [1.55–18.54] | 0.73 < 0.01 |