16 research outputs found
Challenge from Latin America
Delores Stewart says state aid restaurants are reducing food problems of Latin Americ
A case control study of environmental and occupational exposures associated with methicillin resistant Staphylococcus aureus nasal carriage in patients admitted to a rural tertiary care hospital in a high density swine region
Background: Distinct strains of methicillin resistant Staphylococcus aureus (MRSA) have been identified on livestock
and livestock workers. Industrial food animal production may be an important environmental reservoir for human
carriage of these pathogenic bacteria. The objective of this study was to investigate environmental and
occupational exposures associated with nasal carriage of MRSA in patients hospitalized at Vidant Medical Center,
a tertiary hospital serving a region with intensive livestock production in eastern North Carolina.
Methods: MRSA nasal carriage was identified via nasal swabs collected within 24 hours of hospital admission.
MRSA carriers (cases) were gender and age matched to non-carriers (controls). Participants were interviewed about
recent environmental and occupational exposures. Home addresses were geocoded and publicly available data
were used to estimate the density of swine in residential census block groups of residence. Conditional logistic
regression models were used to derive odds ratio (OR) estimates and 95% confidence intervals (CI). Presence of the
scn gene in MRSA isolates was assessed. In addition, multi locus sequence typing (MLST) of the MRSA isolates was
performed, and the Diversilab® system was used to match the isolates to USA pulsed field gel electrophoresis types.
Results: From July - December 2011, 117 cases and 119 controls were enrolled. A higher proportion of controls
than cases were current workforce members (41.2% vs. 31.6%) Cases had a higher odds of living in census block
groups with medium densities of swine (OR: 4.76, 95% CI: 1.36-16.69) and of reporting the ability to smell odor from
a farm with animals when they were home (OR: 1.51, 95% CI: 0.80-2.86). Of 49 culture positive MRSA isolates, all
were scn positive. Twenty-two isolates belonged to clonal complex 5.
Conclusions: Absence of livestock workers in this study precluded evaluation of occupational exposures. Higher
odds of MRSA in medium swine density areas could reflect environmental exposure to swine or poultry
Medical and Household Characteristics Associated with Methicillin Resistant Staphylococcus aureus Nasal Carriage among Patients Admitted to a Rural Tertiary Care Hospital
BackgroundMethicillin resistant Staphylococcus aureus (MRSA) poses a threat to patient safety and public health. Understanding how MRSA is acquired is important for prevention efforts. This study investigates risk factors for MRSA nasal carriage among patients at an eastern North Carolina hospital in 2011.MethodsUsing a case-control design, hospitalized patients ages 18 – 65 years were enrolled between July 25, 2011 and December 15, 2011 at Vidant Medical Center, a tertiary care hospital that screens all admitted patients for nasal MRSA carriage. Cases, defined as MRSA nasal carriers, were age and gender matched to controls, non-MRSA carriers. In-hospital interviews were conducted, and medical records were reviewed to obtain information on medical and household exposures. Multivariable conditional logistic regression was used to derive odds ratio (OR) estimates of association between MRSA carriage and medical and household exposures.ResultsIn total, 117 cases and 119 controls were recruited to participate. Risk factors for MRSA carriage included having household members who took antibiotics or were hospitalized (OR: 3.27; 95% Confidence Interval (CI): 1.24–8.57) and prior hospitalization with a positive MRSA screen (OR: 3.21; 95% CI: 1.12–9.23). A lower proportion of cases than controls were previously hospitalized without a past positive MRSA screen (OR: 0.40; 95% CI: 0.19–0.87).ConclusionThese findings suggest that household exposures are important determinants of MRSA nasal carriage in hospitalized patients screened at admission
The Iowa Homemaker vol.23, no.10
Keeping Up With Today, Marilyn Clayton, page 2
Victory Canning Corps, Corinne Cunningham, page 3
Posters for South America, Frances Kerekes, page 4
Choosing Your College, Clara M. Brown, page 5
For Random Reading, Lila Mae Hummel, page 7
Wanted: More Home Economics, Victoria McKibben, page 9
Teaching Field Broadens in Scope, Norma Shellito, page 10
Food Customs from the Phillipines, Soledad Payawal, page 11
Sheer Simplicity, Josephine Ahern, page 12
Association Benefits Graduates, Zoe Wilson, page 14
Forecasting Textile Supply, Elizabeth Peterson, page 15
What’s New in Home Economics, Mildred Krogh, page 16
Packaging for Post War Foods, Virginia Carter, page 18
Challenge from Latin America, Delores Stewart, page 19
Designed for Individuality, Gertrude Richards, page 21
More Products from Plastics, Mary Elizabeth Lush, page 23
Fashions in Weeds, Marilyn Baker, page 24
Across Alumnae Desks, Harriet Keen, page 26
Rehabilitation Challenges Home Economist, Marian Hoppe, page 28
Alums in the News, Patricia Maddex, page 30
Electronics Change Food Flavors, Barbara Reader, page 3
Challenge from Latin America
Delores Stewart says state aid restaurants are reducing food problems of Latin America</p
Open Access
A case control study of environmental and occupational exposures associated with methicillin resistant Staphylococcus aureus nasal carriage in patients admitted to a rural tertiary care hospital in a high density swine regio
Estimates of association of methicillin resistant <i>Staphylococcus aureus</i> (MRSA) nasal carriage identified by polymerase chain reaction with medical and household exposures from a multivariable logistic model conditioned on age and gender.
<p>Abbreviation: months, mo.; odds ratio, OR; confidence interval, CI.</p>a<p>Non-white or Hispanic includes non-Hispanic black, Hispanic/Latino, Asian, American Indian, or other race/ethnicities.</p>b<p>The gym visitation/sports participation variable reflects the 2 weeks prior to the hospital admission, even though 2 cases and 1 control were screened for MRSA 9 or more days before their current hospital admission.</p>c<p>Entered into the model as a 3-level categorical variable.</p
The Iowa Homemaker vol.23, no.10
Keeping Up With Today, Marilyn Clayton, page 2
Victory Canning Corps, Corinne Cunningham, page 3
Posters for South America, Frances Kerekes, page 4
Choosing Your College, Clara M. Brown, page 5
For Random Reading, Lila Mae Hummel, page 7
Wanted: More Home Economics, Victoria McKibben, page 9
Teaching Field Broadens in Scope, Norma Shellito, page 10
Food Customs from the Phillipines, Soledad Payawal, page 11
Sheer Simplicity, Josephine Ahern, page 12
Association Benefits Graduates, Zoe Wilson, page 14
Forecasting Textile Supply, Elizabeth Peterson, page 15
What’s New in Home Economics, Mildred Krogh, page 16
Packaging for Post War Foods, Virginia Carter, page 18
Challenge from Latin America, Delores Stewart, page 19
Designed for Individuality, Gertrude Richards, page 21
More Products from Plastics, Mary Elizabeth Lush, page 23
Fashions in Weeds, Marilyn Baker, page 24
Across Alumnae Desks, Harriet Keen, page 26
Rehabilitation Challenges Home Economist, Marian Hoppe, page 28
Alums in the News, Patricia Maddex, page 30
Electronics Change Food Flavors, Barbara Reader, page 32</p