Identification of methicillin-susceptible or methicillin-resistant Staphylococcus aureus carrier status preoperatively using polymerase chain reaction in patients undergoing elective surgery with hardware implantation.
We compared bedside polymerase chain reaction to culture for identifying Staphylococcus aureus in patients about to undergo surgery with hardware implantation. Patients were screened for S. aureus carrier status at the preoperative clinic and on the day of surgery. The sensitivity, specificity, positive and negative predictive values, and accuracy were calculated.
1Department of Surgery,Baylor College of Medicine,Houston,Texas.
Serge P
SP
Bebko
3Michael E. DeBakey Veterans Affairs Medical Center,Houston,Texas.
Patricia
P
Byers
2Department of Surgery,Michael E. DeBakey Veterans Affairs Medical Center,Houston,Texas.
David M
DM
Green
1Department of Surgery,Baylor College of Medicine,Houston,Texas.
Samir S
SS
Awad
D002353:Carrier State / Q000175:diagnosis / Q000382:microbiology; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control; D006801:Humans; D017053:Infection Control / Q000379:methods; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D016133:Polymerase Chain Reaction / Q000379:methods; D011237:Predictive Value of Tests; D011300:Preoperative Care / Q000379:methods; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D012680:Sensitivity and Specificity; D013203:Staphylococcal Infections / Q000382:microbiology / Q000517:prevention & control; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000382:microbiology / Q000517:prevention & control