Document Detail

Prevalence of Methicillin-Resistant Staphylococcus aureus in Elective Surgical Patients at a Public Teaching Hospital: An Analysis of 1039 Patients.
MedLine Citation:
PMID:  23025949     Owner:  NLM     Status:  In-Data-Review    
Methicillin-resistant Staphylococcus aureus (MRSA) is an increasingly common cause of postoperative surgical site infections (SSIs). It is unclear, however, whether asymptomatic colonization or nosocomial acquisition of MRSA results in postoperative SSI. We conducted a retrospective review of patients screened for MRSA between May 2008 and October 2010 at our institution. End points included rates of MRSA infection, SSI, and the cost of routine MRSA screening of patients undergoing elective surgery. Of the 1039 patients screened preoperatively, 48 (4.6%) tested positive for MRSA by nasal or oral swab, whereas 991 (95.4%) tested negative. Forty-five (93.8%) MRSA-positive patients received vancomycin or linezolid and three (6.25%) received cefazolin perioperatively. Three (6.25%) MRSA-positive patients developed postoperative SSIs. Two required rehospitalization for intravenous antimicrobials, whereas a third patient required removal of infected abdominal mesh. Twenty (2.02%) MRSA-negative patients and four (5.26%) unscreened patients developed non-MRSA SSIs. Regardless of MRSA status, none of 609 patients who had a laparoscopic procedure or inguinal hernia repair developed SSI. Twenty-two patients needed to be screened to obtain one positive test. The role of MRSA screening and longer perioperative coverage for MRSA-positive patients undergoing complex elective procedures remains to be determined.
Jesse Manunga; Jemi Olak; Carmen Rivera; Maureen Martin
Related Documents :
24720679 - Retreatment of hcv with abt-450/r-ombitasvir and dasabuvir with ribavirin.
25082339 - Thrombocytopenia in malaria: its usefulness in a clinical setting. a study from western...
23722579 - Retrospective analysis of never events in panniculectomy and abdominoplasty patients an...
2608299 - Intracavernous pharmacotherapy for management of erectile dysfunction in spinal cord in...
23358539 - Potentially resistant microorganisms in intubated patients with hospital-acquired pneum...
23600799 - Piloting the use of 2d barcode and patient safety-software in an australian tertiary ho...
9758029 - Surrogates' agreement with patients' resuscitation preferences: effect of age, relation...
10524959 - Bacteremic pneumonia due to staphylococcus aureus: a comparison of disease caused by me...
20656259 - The efficacy of music therapy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  78     ISSN:  1555-9823     ISO Abbreviation:  Am Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1096-9     Citation Subset:  IM    
Department of Surgery, Kern Medical Center, Bakersfield, California, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  An appraisal of radiofrequency ablation and surgical resection for hepatocellular carcinoma: results...
Next Document:  Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing ...