{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:36:41Z","timestamp":1777520201497,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T00:00:00Z","timestamp":1443225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background and objectives<\/jats:title><jats:p>Detection of methicillin\u2010resistant <jats:italic>Staphylococcus aureus<\/jats:italic> (MRSA) carriage requires well\u2010defined risk factors (RFs). Except for \u201cchronic wounds\u201d, RFs are mostly specified in national recommendations. To avoid ineffective and expensive screening, we divided the entity \u201cwounds\u201d into different categories and calculated further RFs in dermatologic patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>After a surveillance period with general MRSA screening, we correlated MRSA results with wound categories and dermatologically relevant diagnoses. We analyzed the screening efficacy by adding potential new RFs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ulcers (pressure, arterial, combined pressure\/arterial ulcers, ulcers otherwise unclassified), type 2 diabetes mellitus (DM), and atopic dermatitis (AD) were significantly associated with MRSA carriage. Tumors (subgroup basal and squamous cell carcinoma) were also significantly associated with MRSA carriage but had a protective odds ratio. Differentiation of wound types did not provide added benefit. In all MRSA\u2010positive patients with chronic wounds, other RKI\u2010listed RFs or type\u00a02 DM were found. Screening sensitivity was increased combining classic RFs (except wounds) with type\u00a02 DM and AD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In dermatologic patients, AD and type\u00a02 DM were identified as new RFs. Distinct wound types were also found to be significant RFs, but differentiated screening offers no benefit. When screening patients according to national recommendations, excluding wounds but including type\u00a02 DM and AD, there is no loss of sensitivity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ddg.12705","type":"journal-article","created":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T10:14:56Z","timestamp":1443262496000},"page":"1015-1022","source":"Crossref","is-referenced-by-count":1,"title":["Risk factors for MRSA colonization in dermatologic patients in Germany"],"prefix":"10.1111","volume":"13","author":[{"given":"Georg","family":"Daeschlein","sequence":"first","affiliation":[{"name":"Department of Dermatology of the Ernst Moritz Arndt University  Greifswald Mecklenburg\u2010Vorpommern Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"von Podewils","sequence":"additional","affiliation":[{"name":"Department of Dermatology of the Ernst Moritz Arndt University  Greifswald Mecklenburg\u2010Vorpommern 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