The MRSA‐import in ICUs is an important predictor for the occurrence of nosocomial MRSA cases

摘要: Abstract Nosocomial infections with methicillin-resistant Staphylococcus aureus (MRSA) account for increased morbidity, mortality and healthcare costs in critically ill patients worldwide. The intensive care unit (ICU) component of the German surveillance system nosocomial (Krankenhaus-Infektions-Surveillance-System, KISS) has been supplemented a module targeting multiresistant pathogens [Multiresistente Erreger (MRE)-KISS] order to increasing burden antibiotic-resistant bacteria. aim this study was assess association between structural organizational characteristics ICUs number MRSA cases. Data were derived from routine data collected frame national (ICU- MRE-KISS) January 2007 December 2008 questionnaire inquiring about structure process parameters. One hundred forty performing active screening have included. Process parameters such as isolation patients, decolonization procedures introduction alert systems implemented by majority ICUs, whereas application mode pre-emptive measures is heterogeneous. Multivariable analysis using negative binominal regression models shows that stay on medical ICU protective effect (incidence rate ratio, 0.42; 95% confidence interval, 0.24–0.74; p=0.003), imported incidence significantly associated cases 1.74; 1.23–2.45; p=0.002). Structure do not show any effect. type should be considered benchmarking hospitals.