TABLE 3.
Bivariate Analysis of Hospital Characteristics Associated with Community-Associated Methicillin-Resistant Staphylococcus aureus(MRSA) Isolation (spa type t008)
| All isolates |
Hospital-onset infection isolates |
Community-onset infection isolates |
||||
|---|---|---|---|---|---|---|
| Hospital characteristic | OR | P | OR | P | OR | P |
| Annual admissions (per 1,000 admissions) | 0.9 | .03 | 0.9 | .5 | 0.9 | <.001 |
| Long-term acute care facility | 0.6 | .4 | 0.4 | <.001 | - | - |
| Pediatric hospital | 3.2 | <.001 | 5.2 | .001 | 2.6 | <.001 |
| Nonprofit hospital | 0.6 | .04 | 0.7 | .2 | 0.6 | .03 |
| Demographic characteristic, % of all patients in that hospital | ||||||
| Male sex | 1.3 | .3 | 1.2 | .5 | 1.4 | .06 |
| Non-White race | 1.2 | <.001 | 1.2 | <.001 | 1.2 | <.001 |
| Hispanic ethnicity | 1.3 | <.001 | 1.2 | .01 | 1.2 | <.001 |
| Medicaid insurance | 1.3 | <.001 | 1.4 | <.001 | 1.2 | <.001 |
| Case mix, % of all patients in that hospital | ||||||
| Acute myocardial infarction | 0.5 | .06 | 0.3 | .002 | 0.7 | .4 |
| Congestive heart failure | 0.7 | .004 | 0.6 | .001 | 0.8 | .2 |
| Peripheral vascular disease | 0.2 | <.001 | 0.3 | <.001 | 0.3 | .002 |
| Stroke | 0.4 | .001 | 0.4 | .005 | 0.5 | .08 |
| Dementia | 0.6 | .3 | 0.5 | .2 | 0.9 | .9 |
| COPD/asthma | 0.7 | <.001 | 0.7 | <.001 | 0.6 | .1 |
| Rheumatologic disease | 0.0 | <.001 | 0.0 | <.001 | 0.0 | <.001 |
| Peptic ulcer | 0.2 | .08 | 0.0 | .04 | 0.4 | .3 |
| Paralysis | 0.5 | .3 | 0.5 | .3 | 1.4 | .8 |
| Renal disease | 0.6 | .002 | 0.6 | .002 | 0.6 | .1 |
| AIDS | 0.1 | .1 | 0.0 | .08 | 0.2 | .2 |
| Diabetes | 0.9 | .4 | 0.8 | .07 | 1.1 | .7 |
| Liver disease | 0.5 | .6 | 0.2 | .2 | 0.9 | .9 |
| Cancer | 0.4 | .004 | 0.4 | .007 | 0.4 | .008 |
| Current surgery | 0.9 | .7 | 0.9 | .8 | 0.8 | .1 |
| High Romano score | 0.7 | <.001 | 0.7 | <.001 | 0.7 | .01 |
NOTE. Community-onset infection isolates were defined as those isolated on or before the second day of hospitalization, and hospital-onset infection isolates were defined as those isolated after the second day of hospitalization. The following variables are continuous and expressed per 10% increase: the percentage of patients with male sex, non-White race, Hispanic ethnicity, Medicaid insurance, current surgery, high Romano score, or any of the listed comorbidities. COPD, chronic obstructive pulmonary disease; OR, odds ratio.