Table 3.
Compilation of MRSA prevalence studies in long-term care facility/nursing home residents in Europe published on PubMed between 2000 and 2011
| Country – region | Year | Prevalence | Number of LTCFS | Predominant genotypes | Independent risk factors | Ref. |
|---|---|---|---|---|---|---|
| Germany – North East | 2003 | 0% | 3 | ND | Not comparable (no multivariate analysis done) | [4] |
| Germany – South | 1999–2000 | 1·1% | 47 | CC5 | Wounds, urinary catheters, limited mobility, hospitalization, medium size LTCF | [5] |
| Germany – Central | 2008 | 2·3%* | 5 | CC5–CC22 | Haemodialysis, recent acute infection before hospital admission* | [6] |
| Germany – West | 2000–2001 | 3% | 61 | CC45 | [7] | |
| Belgium – North | 2000 | 4·7% | 24 | ND | Hospitalization, fluoroquinolone and nitrofurane, >2 beds per room, patient mobility, urinary catheter, pressure sure, short length of stay, underlying disease | [8] |
| Luxembourg | 2010 | 7·2% | 19 | CC5 | History of MRSA, quinolone therapy, ⩾24 h of care per week | This study |
| Germany – North | 2009 | 7·6% | 32 | CC22 | Urinary tract catheters, wounds, previous hospital admission, and high grade resident | [9] |
| Italy – North | 2006 | 7·8% | 2 | NC | Cancer, hospitalization, antibiotics | [10] |
| UK – West England | 2008–2009 | 7·8% | 51 | ND | Not comparable (different control groups) | [11] |
| Slovenia | 2001 | 9·3% | 1 | ND | Antibiotics, hospitalization | [12] |
| Spain – Catalonia, Balearic islands | 2005 | 15·5% | 9 | ND | Age ⩾85 years, comorbidities, pressure sores, antibiotics, medical devices, small size LTCF, transfer from hospital | [13] |
| Belgium | 2005 | 19·9% | 60 | CC45, CC8 | Hospitalization, current MRSA carriage, fluoroquinolones, amoxicillin + clavulanic acid, impaired mobility, wound or decubitus ulcer, dependency status | [14] |
| UK – North England | 2005 | 22% | 39 | ND | Low ratio of nurses to beds, deprived area, male gender, invasive device, hospitalization | [15] |
| France | 2004 | 37·6% | 1† | NC | Fluoroquinolones, other antibiotics, medical imaging, subcutaneous catheter | [16] |
LTCF, Long-term care facility.
*
This study was conducted in hospitals, nursing homes and geriatric rehabilitation centres. The prevalence indicated refers to nursing homes only, but risk factors indicated in multivariate analysis are not limited to nursing home residents.
†
Study was conducted in a geriatric unit associated with a teaching hospital.