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Methicillin-resistant Staphylococcus aureus sepsis after elective vaginal prolapse surgery

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Abstract

Colonization with the virulent pathogen methicillin-resistant Staphylococcus aureus (MRSA) is becoming more prevalent and can result in serious consequences for surgical patients. A 75-year-old woman with diabetes mellitus underwent elective uterovaginal prolapse surgery after an unsuccessful pessary trial. She was noted preoperatively to have MRSA colonization of the urine, and received 10 days of oral linezolid prior to surgery. Four weeks following surgery, the patient was hospitalized for MRSA sepsis. Numerous questions remain regarding the optimal approach to the prevention of MRSA infections in surgical patients. With the increased prevalence of community-acquired MRSA infections, further management strategies and identification of colonization status are necessary to circumvent potentially serious outcomes.

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Abbreviations

CA-MRSA:

community-acquired methicillin-resistant Staphylococcus aureus

HA-MRSA:

hospital-acquired methicillin-resistant Staphylococcus aureus

MRSA:

methicillin-resistant Staphylococcus aureus

MSSA:

methicillin-susceptible Staphylococcus aureus

SSI:

surgical site infection

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Acknowledgements

The authors gratefully acknowledge Rosanne Kho, MD, Department of Obstetrics and Gynecology, Mayo Clinic, Scottsdale, Arizona; Jaime Long, MD, Department of Obstetrics and Gynecology, Reading Hospital and Medical Center, Reading, PA; and Janis Blair, MD, Department of Infectious Diseases, Mayo Clinic, Scottsdale, Arizona.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Global Health, University of Washington, P.O. Box 357660, Seattle, WA, 98195-7236, USA

    Susan M. Marzolf

  2. Department of Obstetrics and Gynecology, Mayo Clinic, Scottsdale, AZ, USA

    Bonnie J. Maffi

  3. Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA

    Marcia G. Ko

Authors
  1. Susan M. Marzolf
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  2. Bonnie J. Maffi
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  3. Marcia G. Ko
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Corresponding author

Correspondence to Susan M. Marzolf.

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Marzolf, S.M., Maffi, B.J. & Ko, M.G. Methicillin-resistant Staphylococcus aureus sepsis after elective vaginal prolapse surgery. Int Urogynecol J 21, 117–119 (2010). https://doi.org/10.1007/s00192-009-0931-9

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  • DOI: https://doi.org/10.1007/s00192-009-0931-9

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