title: Nasal screening is useful in excluding methicillin-resistant Staphylococcus aureus in ventilator-associated pneumonia.
abstract: Methicillin-resistant Staphylococcus aureus screening performed for infection control purposes may be useful in guiding decisions regarding the use of broad-spectrum antibiotics in the intensive care unit. A cohort study of adults with ventilator-associated pneumonia (VAP) found that admission MRSA nasal swabs had a negative predictive value of 94% for later MRSA VAP.
authors.affiliation: Division of Hospital Medicine, University of New Mexico, Albuquerque, NM. Electronic address: jlangsjoen@salud.unm.edu.
authors.forename: Jens
authors.initials: J
authors.lastname: Langsjoen
authors.affiliation: Department of Orthopedics, University of Texas Health Science Center at San Antonio, San Antonio, TX.
authors.forename: Christina
authors.initials: C
authors.lastname: Brady
authors.affiliation: Department of Obstetrics and Gynecology, Kaiser Permanente Santa Clara Medical Center, Santa Clara, CA.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Obenauf
authors.affiliation: Division of Infectious Disease, University of New Mexico School of Medicine, Albuquerque, NM.
authors.forename: Susan
authors.initials: S
authors.lastname: Kellie
mesh_terms: D000900:Anti-Bacterial Agents / Q000009:adverse effects / Q000627:therapeutic use; D015331:Cohort Studies; D005260:Female; D006801:Humans; D017053:Infection Control / Q000379:methods; D007362:Intensive Care Units; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D009666:Nose / Q000382:microbiology*; D053717:Pneumonia, Ventilator-Associated / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiotic stewardship; CAP; MRSA; MRSA colonization