The Prevalence of MRSA Nasal Carriage in Preoperative Pediatric Orthopaedic Patients.
Nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) has been described as a risk factor for postsurgical infection. The purpose of this study is to determine the prevalence of MRSA in pediatric orthopaedic patients and whether being a MRSA carrier is a predictor of postoperative infection. Six hundred and ninety-nine consecutive pediatric patients who underwent MRSA nasal screening prior to surgery were studied. Postoperative cultures, total surgical site infections (SSIs), and epidemiological and surgical prophylaxis data were reviewed. Forty-four of 699 patients (6.29%) screened positive for MRSA. Nine of the 44 patients (20.5%) that screened positive for MRSA had a subsequent SSI compared to 10 of the 655 patients (1.52%) that screened negative (p < 0.05). All 9 patients with a SSI had myelomeningocele. The prevalence of MRSA was 6.30% and was predictive of postoperative infection. Children with myelomeningocele were at the highest risk for having a positive MRSA screening and developing SSI.
Department of Emergency Medicine, Yale-New Haven Hospital, New Haven, CT, USA.
J J
JJ
Walrath
Department of Orthopaedics, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
W L
0000-0002-2754-6455
WL
Hennrikus
Department of Infectious Diseases, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
C
C
Zalonis
Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
A M
AM
Dyer
Penn State College of Medicine, Hershey, PA, USA.
J E
JE
Latorre
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