Document Detail


Which patients are most at risk of methicillin resistant Staphylococcus aureus: a review of admissions to a regional maxillofacial ward between 2001 and 2005.
MedLine Citation:
PMID:  18554758     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study aimed to identify all Staphylococcus aureus (MRSA) cases on a Regional Maxillofacial ward, to estimate incidence and to ascertain who were most at risk. The study also explored clinical and demographic factors associated with MRSA in a subset of consecutive patients managed by primary surgery for previously untreated oral and oropharyngeal squamous cell carcinoma (OOSCC) over the same time period. Patients admitted from 1st April 2001 to 31st March 2006 to the Regional Maxillofacial Unit ward, Liverpool were identified by a retrospective review of the hospital MRSA database and there were 10109 patient admissions. MRSA (1.1%) occurred in 115 patient episodes involving 97 patients. There were 84 patients having a single episode and 13 more than one. There were no cases of mortality due to MRSA. Of the MFU patients 73 were oncology and 7 trauma. In the oncology group the commonest primary sites were wound (41) and sputum (11). Of new patients admitted for definitive treatment for OOSCC, 14% had MRSA and the two main risk factors were stage of cancer (P<0.001) and free flap (P<0.001). The risk of MRSA infection on our maxillofacial ward is low though MRSA infection is more prevalent among oncology patients particularly those requiring free tissue transfer. Careful adherence to infection prevention and control precautions is essential and practical methods to reduce MRSA need further evaluation.
Authors:
Simon N Rogers; Katarzyna Proczek; Rachel A Sen; Julie Hughes; Paul Banks; Derek Lowe
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Publication Detail:
Type:  Journal Article     Date:  2008-06-13
Journal Detail:
Title:  The British journal of oral & maxillofacial surgery     Volume:  46     ISSN:  1532-1940     ISO Abbreviation:  Br J Oral Maxillofac Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2008-12-16     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  8405235     Medline TA:  Br J Oral Maxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  439-44     Citation Subset:  D; IM    
Affiliation:
Regional Maxillofacial Unit, University Hospital Aintree Foundation Trust, Liverpool, UK. snrogers@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Carcinoma, Squamous Cell / surgery
Cohort Studies
Community-Acquired Infections / epidemiology
Cross Infection / epidemiology
Dental Service, Hospital / statistics & numerical data
Disease Susceptibility
England / epidemiology
Female
Hospitals, District
Humans
Male
Maxillofacial Injuries / surgery
Methicillin Resistance*
Middle Aged
Mouth Neoplasms / surgery
Neoplasm Staging
Oropharyngeal Neoplasms / surgery
Patient Admission / statistics & numerical data*
Risk Factors
Sputum / microbiology
Staphylococcal Infections / epidemiology*
Staphylococcus aureus / drug effects*
Surgical Flaps / microbiology,  statistics & numerical data
Surgical Wound Infection / epidemiology*

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


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