Volume 22, Number 11—November 2016
Dispatch
Staphylococcus aureus Colonization and Long-Term Risk for Death, United States
Table 2
Exposure variable‡ | No. deaths | No. patients | Unadjusted |
Model 1 |
Model 2 |
|||||
---|---|---|---|---|---|---|---|---|---|---|
HR† (95% CI) | p value | HR† (95% CI)§ | p value | HR† (95% CI)¶ | p value | |||||
S. aureus colonization | ||||||||||
No S. aureus | 1,051 | 7,794 | 1 (referent) | 1 (referent) | 1 (referent) | |||||
MSSA | 279 | 2,668 | 0.82 (0.68–0.98) | 0.035 | 1.03 (0.85–1.24) | 0.79 | 1.06 (0.88–1.27) | 0.52 | ||
MRSA | 41 | 136 | 2.40 (1.56–3.69) | <0.001 | 1.54 (1.06–2.34) | 0.026 | 1.38 (0.88–2.17) | 0.15 | ||
MRSA SCCmec II | 36 | 83 | 3.38 (2.00–5.72) | <0.001 | 1.42 (0.88–2.26) | 0.14 | 1.40 (0.87–2.24) | 0.16 | ||
MRSA SCCmec IV |
5 |
53 |
1.07 (0.37–3.12) |
0.9 |
2.05 (0.60–7.03) |
0.25 |
1.96 (0.55–6.92) |
0.29 |
||
In colonized participants | ||||||||||
MSSA | 279 | 2,668 | 1 (referent) | 1 (referent) | 1 (referent) | |||||
MRSA | 41 | 136 | 2.90 (1.92–4.40) | <0.001 | 1.48 (0.94–2.32) | 0.09 | 1.27 (0.76–2.13) | 0.35 | ||
MRSA SCCmec II | 36 | 83 | 4.05 (2.42–6.79) | <0.001 | 1.36 (0.84–2.21) | 0.2 | 1.17 (0.66–2.08) | 0.58 | ||
MRSA SCCmec IV | 5 | 53 | 1.30 (0.44–3.84) | 0.63 | 1.90 (0.54–6.64) | 0.3 | 1.97 (0.58–6.70) | 0.26 |
*HR, hazard ratio; MSSA, methicillin-susceptible S. aureus; MRSA, methicillin-resistant S. aureus; SCCmec: staphylococcal cassette chromosome mec.
†Generated by using Cox proportional hazards regression.
‡Categorized into no S. aureus colonization (0), MSSA colonization (1) and MRSA colonization (2), to generate hazard ratios for MSSA colonization (1) and MRSA colonization (2) in reference to no S. aureus colonization (0). In the analysis by SCCmec types, exposure was categorized into: no S. aureus colonization (0), MSSA colonization (1), MRSA SCCmec II (2), and MRSA SCCmec IV (3) and hazard ratios for MRSA SCCmec II (2), and MRSA SCCmec IV were reported. In colonized participants, the analysis was repeated with MSSA colonization being the reference category.
§Adjusted for age, sex, race/ethnicity, and Poverty Income Ratio.
¶Adjusted for age, sex, race/ethnicity, poverty Income ratio, smoking, body mass index, and co-morbidities (asthma, diabetes, hypertension, cardiovascular diseases, stroke, liver disease, and cancer).