Skip to main content

Table 4 Results of the multivariable analysis for all cases of methicillin-resistant Staphylococcus aureus

From: Screening and control of methicillin-resistant Staphylococcus aureus in 186 intensive care units: different situations and individual solutions

ICU structure and process parameters

IRR (95% CI)

P valuea

Type of screening

  

   No screening

1 = reference

≤0.001

   Targeted screening of risk patients

1.46 (1.00-2.14)

 

   Universal admission screening

2.73 (1.78-4.18)

 

Size of the hospital

  

   Hospital size not greater than the median

1 = reference

0.001

   Hospital size greater than the median

1.66 (1.22-2.24)

 

Not significant in the multivariable analysis

Isolation (strict SR isolation/SR or contact precautions/contact precautions)

Decolonization with mupirocin (decolonization of all/not all MRSA patients)

Interactions: screening-isolation, screening-decolonization, isolation-decolonization

Pre-emptive isolation

Short admissions of less than 48 hours of less than 1/3 of admitted patients

Nurse-to-patient ratio (not greater than the median/greater than the median)

Percentage of ventilator beds (not greater than the median/greater than the median)

Number and percentage of SRs (not greater than the median/greater than the median)

Size of ICU (not greater than the median/greater than the median)

Type of hospital (university/academic/other)

Type of ICU (medical-surgical/medical/surgical/other)

Length of stay (not greater than the median/greater than the median)

Device use (CVC, ventilation) (not greater than the median/greater than the median)

  1. In the generalized linear regression model, the negative binomial distribution was used and the log number of patient-days was treated as an offset parameter. A stepwise forward approach was applied, and the selection criteria were the highest chi-square value andaP value of less than 0.05 in the type III score chi-square statistic. CI, confidence interval; CVC, central venous catheter; ICU, intensive care unit; IRR, incidence rate ratio; MRSA, methicillin-resistant Staphylococcus aureus; SR, single room.