Table 3. Antimicrobial resistance by risk factor among MRSA isolates comparing data from NHANES 2003–04 and data from Penn State Hershey Medical Center 2009–10.
NHANES 2003–04 | PSHMC 2009–10 | |||||||||||
n = 133 | n = 88 | |||||||||||
Multidrug Resistance (MDR4) | Clindamycin Resistant(CLIR) | Multidrug Resistance (MDR4) | Clindamycin Resistant (CLIR) | |||||||||
4+ classes of non-susceptibility | high-level resistance | 4+ classes of non-susceptibility | high-level resistance | |||||||||
Prevalence | 73% | 63% | 73% | 58% | ||||||||
PR | 95% CI | p-value | PR | 95% CI | p-value | PR | 95% CI | p-value | PR | 95% CI | p-value | |
Gender (male is ref) | ||||||||||||
Unadjusted | 1.00 | 0.81–1.23 | 0.98 | 1.04 | 0.80–1.35 | 0.78 | 0.97 | 0.74–1.27 | 0.83 | 0.98 | 0.68–1.41 | 0.90 |
Adjusted | 0.98 | 0.81–1.20 | 0.87 | 1.01 | 0.79–1.30 | 0.91 | 0.93 | 0.71–1.22 | 0.60 | 0.91 | 0.64–1.32 | 0.63 |
Age (18–65 is ref) | ||||||||||||
Over 65, Unadjusted | 1.61 | 1.24–2.09 | <0.001 | 1.82 | 1.34–2.48 | <0.001 | 1.16 | 0.90–1.49 | 0.25 | 1.37 | 0.96–1.95 | 0.08 |
Over 65, Adjusted | 1.36 | 1.03–1.78 | 0.03 | 1.46 | 1.03–2.04 | 0.03 | 1.20 | 0.93–1.55 | 0.17 | 1.40 | 0.97–2.02 | 0.07 |
Under 18, Unadjusted | 1.30 | 0.97–1.75 | 0.08 | 1.17 | 0.80–1.71 | 0.41 | – | – | ||||
Under 18, Adjusted | 1.44 | 1.05–1.97 | 0.02 | 1.31 | 0.89–1.93 | 0.17 | – | – | ||||
Hospitalization (>1 year is ref) | ||||||||||||
Within 1 year, unadjusted | 1.30 | 1.08–1.57 | 0.005 | 1.53 | 1.22–1.92 | <0.001 | 1.22 | 0.90–1.67 | 0.20 | 1.13 | 0.76–1.68 | 0.54 |
Within 1 month, adjusted | 1.22 | 1.00–1.48 | 0.05 | 1.36 | 1.07–2.04 | 0.01 | 1.23 | 0.91–1.66 | 0.19 | 1.13 | 0.77–1.67 | 0.53 |
Household Size* (under 2 is ref) | ||||||||||||
Unadjusted | 0.79 | 0.65–0.96 | 0.02 | 0.68 | 0.53–0.88 | 0.003 | 1.05 | 0.81–1.36 | 0.71 | 0.95 | 0.65–1.39 | 0.81 |
Adjusted | 0.93 | 0.73–1.20 | 0.59 | 0.76 | 0.55–1.06 | 0.10 | 1.10 | 0.85–1.41 | 0.47 | 1.04 | 0.70–1.52 | 0.86 |
Adjusted models include gender, age, hospitalization, and household size.