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Risk of death from methicillin-resistant Staphylococcus aureus bacteraemia: a meta-analysis

Michael Whitby, Mary-Louise McLaws and Geoffrey Berry
Med J Aust 2002; 176 (4): 188-189.
Published online: 18 February 2002

In Reply: We thank Hurley for his comments on our meta-analysis.1 However, we strongly dispute that our analytical technique is flawed, and argue that we have been extremely cautious in drawing our conclusions. Hurley's contention is that hospital length of stay before bacteraemia (LOS) is a surrogate for severity of underlying disease and risk for colonisation with methicillin-resistant Staphylococcus aureus (MRSA), and that these factors explain the higher mortality in patients with MRSA.

  • Michael Whitby
  • Mary-Louise McLaws
  • Geoffrey Berry

  • 1 Infection Management Services, Princess Alexandra Hospital, Brisbane, QLD.
  • 2 NSW Hospital Infection, Epidemiology and Surveillance Unit, Faculty of Medicine, Sydney, NSW.
  • 3 Department of Public Health and Community Medicine, University of Sydney, Sydney, NSW.

Correspondence: drjameshurley@bigpond.com

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