Table 3.
Risk factors for and protective factors against MRSA SSIs with the level of agreement obtained by the Delphi method
| Risk factors for SSIs due to MRSA | Percentage of consensus |
|---|---|
| Major risk factors for MRSA SSIs | |
| Signs and severity of sepsis | Consensus (>80%) |
| Colonization by MRSA | Consensus (>80%) |
| Age > 75 years | Consensus (>80%) |
| Duration of hospitalization > 2 weeks | Consensus (>80%) |
| Previous treatment with antibiotics, from 30 days to 12 months | No consensus (<80%) |
| ICU admission in the previous 12 months | No consensus (<80%) |
| Any prosthetic surgery | No consensus (<80%) |
| Previous admission to hospital (6 months) and/or rehabilitation structure | No consensus (<80%) |
| Minor risk factors for MRSA SSIs | |
| Diabetes (HbA1c > 7%) | Consensus (>80%) |
| Obesity (BMI > 30) | No consensus (<80%) |
| Steroids and immunosuppressive treatment | No consensus (<80%) |
| Previous hospital admission from 30 days to 6 months | No consensus (<80%) |
| Renal insufficiency | No consensus (<80%) |
| Chronic obstructive pulmonary disease | No consensus (<80%) |
| Other antibiotic therapy from 30 days to 6 months | No consensus (<80%) |
| Surgical operation lasting more than 3 h | No consensus (<80%) |
| Protective factors for MRSA SSIs | |
| Adequate antibiotic prophylaxis | Consensus (>80%) |
| Laparoscopic technique | Consensus (>80%) |
| Hospital with an Infection Surveillance Committee | Consensus (>80%) |
ICU intensive care unit, HbA1c, glycated hemoglobin, BMI body mass index