Volume 21 Issue 5
May  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 809-812
YANG Xiaowen, ZHANG Yanjun, PENG Pan, LI Xue, ZHANG Qinlian, LIU Jinping, ZHANG Jianmei, LI Linping. Epidemiological characteristics survey of community acquired Staphylococcus aureus towards elderly in Taiyuan City[J]. Chinese Journal of General Practice, 2023, 21(5): 809-812. doi: 10.16766/j.cnki.issn.1674-4152.002989
Citation: YANG Xiaowen, ZHANG Yanjun, PENG Pan, LI Xue, ZHANG Qinlian, LIU Jinping, ZHANG Jianmei, LI Linping. Epidemiological characteristics survey of community acquired Staphylococcus aureus towards elderly in Taiyuan City[J]. Chinese Journal of General Practice, 2023, 21(5): 809-812. doi: 10.16766/j.cnki.issn.1674-4152.002989
shu

Epidemiological characteristics survey of community acquired Staphylococcus aureus towards elderly in Taiyuan City

doi: 10.16766/j.cnki.issn.1674-4152.002989
  • 1.

    Department of Hospital-infection Control, Shanxi Provincial People ' s Hospital, Taiyuan, Shanxi 030012, China

Funds:

 2018GW08

  • Received Date: 2022-04-28
    Abstract
  •   Objective  Due to the influence of underlying diseases, living habits and traditional ideas, the prevalence of community-acquired Staphylococcus aureus in elderly has certain characteristics. To investigate the epidemiological characteristics of community-acquired Staphylococcus aureus towards the elderly in Taiyuan, so as to provide evidence for health education and clinical the empirical use of antibacterial agents.  Methods  A total of 626 residents aged 60 years or older were selected from nine communities of four administrative regions in Taiyuan for face to face questionnaire survey and pathogenic detection from April 2019 to July 2020. Chi square test, Kruskal-Wallis H test and logistic regression model were used to analyze the carrying status and related risk factors of Staphylococcus aureus (SA) and community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) in the elderly population in the community.  Results  Among the 626 elderly people in the community, 35 carried SA, with a carrying rate of 5.6%, of which 5 carried CA-MRSA, with a carrying rate of 0.8%. There was statistically significant difference in SA carrier rate in number of underlying diseases (χ2=9.229, P=0.026), family structure (χ2=5.746, P=0.017), whether to eat overnight meal (χ2=4.990, P=0.025), whether to use antibacterial drugs in the past 3 months (χ2=4.705, P=0.030). Multivariate logistics analysis showed that family structure (OR=2.523, 95% CI: 1.235-5.155, P=0.011), eating leftover (OR=2.496, 95% CI: 1.105-5.634, P=0.028), using of antibiotic in recently three month (OR=2.394, 95% CI: 1.019-5.620, P=0.045) were influencing factors of SA carrying.  Conclusion  The SA carrying level of the elderly population in Taiyuan is comparable to that of the elderly patients in medical institutions, and the CA-MRSA carrying level is lower than the national average. It is necessary to further strengthen the promotion of health education and antimicrobial management.

     

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