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Volume 9, Number 11—November 2003
Research

Fluoroquinolones and the Risk for Methicillin-resistant Staphylococcus aureus in Hospitalized Patients1

Stephen G. Weber*Comments to Author , Howard S. Gold*, David C. Hooper†, A.W. Karchmer*, and Yehuda Carmeli*
Author affiliations: *Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA; †Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA

Main Article

Table 2

Results of multivariable analysisa

Risk factor
MRSA cases
MSSA cases
OR (95% CI)
p value
OR (95% CI)
p value
Primary covariates
Levofloxacin
3.38 (1.94 to 5.90)
<0.001
0.69 (0.34 to 1.40)
0.30
Ciprofloxacin
2.48 (1.32 to 4.67)
0.005
0.47 (0.21 to 1.02)
0.06
Other covariates




Lung disease
3.94 (2.43to6.40)
<0.001
2.33 (1.43 to 3.81)
<0.001
Renal disease
*

1.98 (1.03 to 3.80)
0.04
Penicillin
*

1.78 (0.93 to 3.39)
0.08
Metronidazole
1.92 (1.10 to 3.37)
0.02
1.29 (0.65 to 2.56)
0.46
ICU stay
5.33 (3.28 to 8.68)
<0.001
4.60 (2.90 to 7.30)
<0.001
Emergent admission
1.74 (1.09 to 2.78)
0.02
1.90 (1.17 to 3.08)
0.01
Admission service




Medical
*



Obstetrical
*

0.29 (0.08 to 1.05)
0.06
Surgical * 1.82 (1.12 to 2.97) 0.02

aAll results adjusted for time at risk. Only variables significant (p < 0.05) on univariate analysis were included in final models. Several variables (indicated with an asterisk) met criteria for inclusion in the MSSA (methicillin-susceptible Staphylococcus aureus), but not the MRSA (methicillin-resistant Staphylococcus aureus) model. OR, odds ratio; CI, confidence interval; ICU, intensive care unit.

Main Article

1This study was presented in part at the 42nd Interscience Conference on Antimicrobial Agents and Chemotherapy, Sand Diego, California, September 2002.

Page created: January 21, 2011
Page updated: January 21, 2011
Page reviewed: January 21, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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