Table 3 Risk factors for and protective factors against MRSA SSIs with the level of agreement obtained by the Delphi method
Risk factors for SSIs due to MRSA | Percentage of consensus |
|---|---|
Major risk factors for MRSA SSIs | |
 Signs and severity of sepsis | Consensus (>80%) |
 Colonization by MRSA | Consensus (>80%) |
 Age > 75 years | Consensus (>80%) |
 Duration of hospitalization > 2 weeks | Consensus (>80%) |
 Previous treatment with antibiotics, from 30 days to 12 months | No consensus (<80%) |
 ICU admission in the previous 12 months | No consensus (<80%) |
 Any prosthetic surgery | No consensus (<80%) |
 Previous admission to hospital (6 months) and/or rehabilitation structure | No consensus (<80%) |
Minor risk factors for MRSA SSIs | |
 Diabetes (HbA1c > 7%) | Consensus (>80%) |
 Obesity (BMI > 30) | No consensus (<80%) |
 Steroids and immunosuppressive treatment | No consensus (<80%) |
 Previous hospital admission from 30 days to 6 months | No consensus (<80%) |
 Renal insufficiency | No consensus (<80%) |
 Chronic obstructive pulmonary disease | No consensus (<80%) |
 Other antibiotic therapy from 30 days to 6 months | No consensus (<80%) |
 Surgical operation lasting more than 3 h | No consensus (<80%) |
Protective factors for MRSA SSIs | |
 Adequate antibiotic prophylaxis | Consensus (>80%) |
 Laparoscopic technique | Consensus (>80%) |
 Hospital with an Infection Surveillance Committee | Consensus (>80%) |