Surgery Today

, Volume 44, Issue 6, pp 1018–1025

Nasal MRSA screening for surgical patients: predictive value for postoperative infections caused by MRSA

  • Yutaka Matsubara
  • Hideaki Uchiyama
  • Takahiro Higashi
  • Ai Edagawa
  • Hirokuni Ishii
  • Shigeyuki Nagata
  • Kenkichi Hashimoto
  • Daihiko Eguchi
  • Hirofumi Kawanaka
  • Toshirou Okuyama
  • Masahiro Tateishi
  • Daisuke Korenaga
  • Kenji Takenaka
Original Article

DOI: 10.1007/s00595-013-0648-8

Cite this article as:
Matsubara, Y., Uchiyama, H., Higashi, T. et al. Surg Today (2014) 44: 1018. doi:10.1007/s00595-013-0648-8
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Abstract

Purpose

Postoperative methicillin-resistant Staphylococcus aureus (MRSA) infections are occasionally fatal. We hypothesized that nasal MRSA screening might predict the risk of postoperative MRSA infections. The aim of the current study was to elucidate the relationship between the positivity of nasal MRSA screening and postoperative MRSA infections.

Methods

Six hundred and fourteen surgical patients who were admitted to the intensive care unit and underwent nasal MRSA screening between April 2006 and March 2011 were divided into MRSA-positive and -negative groups. The incidence of postoperative MRSA infections in the MRSA-positive and MRSA-negative groups were compared, and various risk factors for MRSA infections were evaluated.

Results

The incidence of postoperative MRSA infections, such as pneumonia and enteritis, in the MRSA-positive group was significantly higher than that in the MRSA-negative group (41.9 vs. 3.1 %). The significant independent risk factors for postoperative MRSA infections were a positive MRSA screening, an operation lasting more than 300 min and an emergency operation. A positive MRSA screening was the most statistically significant risk factor for postoperative MRSA pneumonia and enteritis, but was not a risk factor for MRSA surgical site infections.

Conclusion

Nasal MRSA screening can help to identify patients who have an increased risk of developing postoperative MRSA infections, and would enable physicians to take a prompt action if these complications occur.

Keywords

MRSAScreeningSurgeryPostoperative complication

Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Yutaka Matsubara
    • 1
  • Hideaki Uchiyama
    • 1
  • Takahiro Higashi
    • 1
  • Ai Edagawa
    • 1
  • Hirokuni Ishii
    • 1
  • Shigeyuki Nagata
    • 1
  • Kenkichi Hashimoto
    • 1
  • Daihiko Eguchi
    • 1
  • Hirofumi Kawanaka
    • 1
  • Toshirou Okuyama
    • 1
  • Masahiro Tateishi
    • 1
  • Daisuke Korenaga
    • 1
  • Kenji Takenaka
    • 1
  1. 1.Department of SurgeryFukuoka City HospitalFukuokaJapan