From: MRSA prevalence in european healthcare settings: a review
NO. | Author (First) | Study design | Screening policy | Results | Quality Rating3 | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
 | Country, Year of Publication | Study period, dates (months) | Study, setting (no. of units) (n) | Basic number of cases potentially eligible (n) | Study population (no. of residents) (n) | Screening methods | Swabbing sites | Number of MRSA patients colonised (C) or infected (I) (n) | Proportion of MRSA |  | |
 |  |  |  |  |  |  |  |  | % MRSA among patients Mean (95% CI)1Range2 | % MRSA among S. aureus isolates Mean (95% CI)1 |  |
1 | Baldwin [36] Northern Ireland 2009 | 2005-2006 (9) | NH-E (45) | 1.678 | 1.1114 | Non-selective on one day in each unit | Nares, urine, wounds, inv.devices | 267 (C) | 23.3 (18.8-27.7) Range, 0 to 73 | Â | Good 1Y; 2Y; 3Y; 4Y; 5Y; 6Y; 7N |
2 | Barr [38] UK 2007 | 2005 (2) | Care homes for the elderly (39) | 1.342 | 7154 | Non-selective | Nose | 159 (C) | 22.0 (18.0-27.0) Range, 0 to 50 | 54.0 | Fair 1N; 2N; 3Y; 4Y; 5Y; 6Y; 7N |
3 | Baum, von [37] Germany 2002 | 1999-2000 (12) | NH-E (47) | 3.864 | 3.2364 | Non-selective | Nares, skin defects | 36 (C) | 1.1 (0.75-1.47) Range, 0 to 18.2 | Â | Fair 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7N |
4 | Brugnaro [39] Italy 2009 | 2006 (1) | NH-E (2 with 15 units) | 570 | 5514 | Non-selective on a single day in each unit | Nares | 43 (C) | 7.8 (5.7-10.4) Range, 0 to 18 | Â | Fair 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7N |
5 | Cretnik [40] Slovenia 2005 | 2001 (1) | NH-E (1) | 127 | 107 | Non-selective | Nares, skin lesions | 10 (C) | 9.3 | Â | Poor 1N; 2N; 3Y; 4Y; 5N; 6?; 7N |
6 | Denis [33] Belgium 2009 | 2005 (9) | A random sample of NH-E (60) | NA | 2.953 | Non-selective on the same day in each unit | Nares, throat, wounds, cath. urine | 587 (C) | 19.5 (16.4-21.5) Range, 2 to 42.9 | 39.1 | Fair 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7Y |
7 | Heuck [41] Germany 2000 | NA | NH-E (31) | ? | 1.3424 | Non-selective | Nares, throat, wounds | 32 (C) | 2.4 Range, 0 to 2.9 | 6.0 | Poor 1N; 2N; 3Y; 4N; 5N; 6N; 7Y |
8 | Heudorf [42] Germany 2001 | 1999-2000 NA | NH-E (7); geriatric RC (1) | ? | NH-E: 359 RC: 424 | Non-selective | Nose, throat | NH-E: 8 (C) RC: 2 (C) | NH-E: 2.2 RC: 4.8 | Â | Fair 1N; 2N; 3Y; 4Y; 5Y; 6N; 7Y |
9 | Hoefnagels-Schuermans [43] Belgium 2002 | 1997 (3) | NH-E (17) | ? | 2.857 | Non-selective; one day sampling in each unit | Nose, perineum | 141 (C) | 4.9 (4.38-6.09) | 19.1 | Poor 1N; 2Y; 3N; 4N; 5N; 6Y; 7N |
10 | Neuhaus [44] Germany 2002 | 2000-2001 (12) | NH-E (61) | ? | 1.0574 | Non-selective | Nose, throat, wounds | 32 (C) 3 (I) | 3.0 (2.1-4.2) | 6.3 (4.3-8.8) | Fair 1Y; 2N; 3Y; 4N; 5N; 6N; 7Y |
11/1 | Woltering [45] Germany 2008 | NA (4) | NH-E (5) | 441 | 2654 | Non-selective on a 2-days period in each unit | Nose, throat, wounds | 4 (C) | 2.3 (0.8-4.9) | 5.9 | Good 1N; 2Y; 3Y; 4Y; 5Y; 6N; 7Y |