The Prevalence of MRSA Nasal Carriage in Preoperative Pediatric Orthopaedic Patients
| Autor: | A. M. Dyer, C. Zalonis, J. J. Walrath, J. E. Latorre, William L. Hennrikus |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Article Subject 030106 microbiology medicine.disease_cause 03 medical and health sciences Surgical prophylaxis 0302 clinical medicine lcsh:Orthopedic surgery Internal medicine Surgical site Epidemiology medicine Postoperative infection Nasal carriage Orthopedics and Sports Medicine 030212 general & internal medicine Risk factor business.industry biochemical phenomena metabolism and nutrition bacterial infections and mycoses Surgery lcsh:RD701-811 Staphylococcus aureus business Mrsa screening Research Article |
| Zdroj: | Advances in Orthopedics Advances in Orthopedics, Vol 2016 (2016) |
| ISSN: | 2090-3472 2090-3464 |
| DOI: | 10.1155/2016/5646529 |
| Popis: | Nasal carriage of methicillin-resistantStaphylococcus aureus(MRSA) has been described as a risk factor for postsurgical infection. The purpose of this study is to determine the prevalence of MRSA in pediatric orthopaedic patients and whether being a MRSA carrier is a predictor of postoperative infection. Six hundred and ninety-nine consecutive pediatric patients who underwent MRSA nasal screening prior to surgery were studied. Postoperative cultures, total surgical site infections (SSIs), and epidemiological and surgical prophylaxis data were reviewed. Forty-four of 699 patients (6.29%) screened positive for MRSA. Nine of the 44 patients (20.5%) that screened positive for MRSA had a subsequent SSI compared to 10 of the 655 patients (1.52%) that screened negative (p<0.05). All 9 patients with a SSI had myelomeningocele. The prevalence of MRSA was 6.30% and was predictive of postoperative infection. Children with myelomeningocele were at the highest risk for having a positive MRSA screening and developing SSI. |
| Databáze: | OpenAIRE |
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