Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus.

Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus. Research Abstract Details 

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Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus. Abstract Text:

Katherine T Chen,Holly Campbell,Luisa N Borrell,Richard C Huard,Lisa Saiman,Phyllis Della-Latta,

The purpose of this study was to determine the predictors and outcomes of pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA). We performed an unmatched 1:4 case-control study with two control groups (13 CA-MRSA cases, 52 methicillin-sensitive S. aureus (MSSA) controls, and 52 S. aureus-negative controls) via a retrospective medical record review. We found that CA-MRSA cases were 12.5 times significantly less likely to be colonized with group B streptococci (GBS) compared with MSSA controls in multivariable analyses. When we compared MSSA patients with S. aureus-negative patients, we found that MSSA patients were 4.5 times significantly more likely to be colonized with GBS and 11 times significantly more likely to have a postpartum fever > or = 100.4 degrees F in multivariable analyses. Traditional risk factors for hospital-associated MRSA do not appear to predict vaginal-rectal CA-MRSA carriage in pregnant women. Instead, CA-MRSA carriage is significantly associated with lack of GBS carriage. Additional microbiologic studies and epidemiologic studies are needed to clarify the relationship between S. aureus and GBS, given that these two colonizing organisms have the potential to become pathogens.

Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus. Publishing Authors By Initials

KT Chen,H Campbell,LN Borrell,RC Huard,L Saiman,P Della-Latta,

For similar urogenital system: genitalia: genitalia, female: vagina research abstracts see: urogenital system: genitalia: genitalia, female: vagina research

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Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: American journal of perinatology

VOLUME: 24

Page Numbers: 235-40

Journal Abbreviation:

ISSN: 0735-1631

DAY: 3

MONTH: Apr

YEAR: 2007

Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8405212

Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus. Keywords Mesh Terms:

KEYWORDS: Vagina

MESH TERMS: microbiology

Chemical & Substance for Abstract: Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus. Information

Substance Name: Methicillin

Registry Number: 61-32-5

Grant and Affiliation Information for Predictors and outcomes for pregnant women with vaginal-rectal carriage of community-associated methicillin-resistant Staphylococcus aureus.

AFFILIATION: Department of Obstetrics and Gynecology, Columbia University, New York, New York 10032, USA.

Country: United States

AGENCY: United States NICHD

GRANT: SK12 HD01275

ACRONYM: HD

MEDLINETA: Am J Perinatol

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