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Association between vitamin D deficiency and methicillin-resistant Staphylococcus aureus infection
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Association between vitamin D deficiency and methicillin-resistant Staphylococcus aureus infection
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Association between vitamin D deficiency and methicillin-resistant Staphylococcus aureus infection
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Journal Article
Association between vitamin D deficiency and methicillin-resistant Staphylococcus aureus infection
2015
Overview
Purpose
Given that vitamin D (25(OH)D) contributes to immune defense, we sought to determine if deficiency of 25(OH)D was significantly associated with methicillin-resistant
Staphylococcus aureus
(MRSA) infection.
Methods
All patients with 25(OH)D determinations at the Atlanta VAMC from 2007 to 2010 were included in the analyses. These patients were cross-referenced with a prospectively collected MRSA infection database at the AVAMC (2006–2010). Patients with one or more MRSA infections during the study period were considered MRSA-infected patients. Multivariate logistic regression was used to determine the association between 25(OH)D status [deficient (<20 ng/mL) vs. non-deficient (≥20 ng/mL)] and MRSA infection.
Results
A total of 6405 patients with 25(OH)D determinations were included in the analyses, of which 401 (6.3 %) were MRSA-infected patients. Mean (SD) vitamin D levels, in ng/mL, were 21.1 (12.4) and 24.0 (12.6) for MRSA-infected patients and non-MRSA infected patients, respectively (
p
< 0.0001). The multivariate logistic regression model confirmed associations between MRSA infection and sex, race, BMI, HIV status, and 25(OH)D [odds ratio for 25(OH)D: 1.94; 95 % confidence interval: 1.51–2.49].
Conclusion
MRSA-infected patients had significantly lower serum vitamin D levels than non-MRSA infected patients, even when controlling for potential confounding variables.
Publisher
Springer Berlin Heidelberg,Springer Nature B.V
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