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Table 3 Variables associated with final treatment failure

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

  
  1. aKnown risk factors are: previous MRSA carriage, contact with livestock, contact with MRSA positive person, hospital admission outside the Netherlands
  2. bThe comorbidities mentioned below were merged together to get a larger sample size
  3. cSolid organ transplant (SOT) or dialysis
  4. dTubing, catheters, probes, cannulas etc.
  5. eMeasured counting from first visit infectious diseases consult
  6. fTravelling either to Asia, Africa, Central America or South America
  7. gStrains associated with refugees[15]
  8. hWhen one or more household members were not tested for MRSA, the index patient was categorized as ‘No’
  9. iUnknown cases included refugees who fled alone, but had shared facilities at the refugee centre