Mortality after infection with methicillin-resistant Staphylococcus aureus (MRSA) diagnosed in the community
2008

Mortality from Community-Acquired MRSA Infections

Sample size: 15529 publication 10 minutes Evidence: high

Author Information

Author(s): Delaney JA 'Chris', Schneider-Lindner Verena, Brassard Paul, Suissa Samy

Primary Institution: McGill University Health Center

Hypothesis

What is the mortality associated with community-acquired MRSA infections?

Conclusion

MRSA infections diagnosed in the community are associated with significant mortality in the year after diagnosis.

Supporting Evidence

  • 21.8% of MRSA patients died within one year compared to 5.0% of non-MRSA patients.
  • The adjusted hazard ratio for death in MRSA patients was 4.1.
  • Patients with MRSA were more likely to have co-morbid conditions.

Takeaway

Getting an MRSA infection in the community can make you very sick and even lead to death, especially within a year of being diagnosed.

Methodology

A cohort study using the UK General Practice Research Database to compare mortality in patients with and without MRSA.

Potential Biases

Residual confounding due to unmeasured health states that predispose to MRSA infections.

Limitations

Could not distinguish site or severity of individual MRSA infections and potential confounding factors were not fully controlled.

Participant Demographics

Patients were older than 18 years, with a mean age of 70 years; included both males and females.

Statistical Information

P-Value

4.08

Confidence Interval

3.5–4.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1741-7015-6-2

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