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Table 2 MRSA prevalence among patients and residents in long-term care facilities

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
  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
  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
  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   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   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
  1. 1: Pooled mean calculated as a combined prevalence rate over all units with 95% CI.
  2. 2: Range within the individual units.
  3. 3: Levels for study quality: Good (= 6 and 7 points), fair (= 3 - 5 points), poor (= 1 and 2 points). Numbers belong to the questions as illustrated in Table 1.
  4. 4: Participants who were able to give informed consent or informed consent were given by their relatives. Abbreviations: CI, Confidence intervals; N, no; NH-(E), Nursing home for the elderly; RC, Rehabilitation centre; Y, Yes; NA, No Answer; ?, unclear or missing information.