Prevalence of methicillin-resistant Staphylococcus aureus nasal carriage among patients with femoral neck fractures: implication for antibiotic prophylaxis.
Fifteen (8.4%) of 179 patients admitted with femoral neck fractures carried MRSA. Among 96 patients admitted from their homes, only 2 (2%) were carriers, whereas 13 (15.6%) of 83 patients from nursing or residential homes or long-term-care facilities were colonized (P = .001). Routine prophylaxis with vancomycin is recommended in the latter group.
Merrer
Jacques
J
Department of Public Health, Infection Control Unit, Hôpital Intercommunal de Poissy/St. Germain-en-Laye, France.
Pisica-Donose
Georges
G
Leneveu
Michel
M
Pauthier
François
F
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D019072:Antibiotic Prophylaxis; D002353:Carrier State / Q000453:epidemiology / Q000382:microbiology*; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D005265:Femoral Neck Fractures / Q000382:microbiology* / Q000601:surgery; D005602:France / Q000453:epidemiology; D006798:Housing / Q000145:classification; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D009297:Nasal Mucosa / Q000382:microbiology*; D009735:Nursing Homes; D015995:Prevalence; D013203:Staphylococcal Infections / Q000453:epidemiology*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000382:microbiology; D014640:Vancomycin / Q000494:pharmacology
D000900:Anti-Bacterial Agents; D014640:Vancomycin