The Prevalence of MRSA Nasal Carriage in Preoperative Pediatric Orthopaedic Patients

J. J. Walrath, W. L. Hennrikus, C. Zalonis, A. M. Dyer, J. E. Latorre

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number5646529
JournalAdvances in Orthopedics
Volume2016
DOIs
StatePublished - 2016

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

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