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Does methicillin-resistant Staphylococcus aureus have a significant role in the peri-operative course of patients undergoing rhinological surgery?

Published online by Cambridge University Press:  09 June 2008

C M Philpott ,
A Sharma  and
D C McKiernan
C M Philpott*
Affiliation:
Department of Otorhinolaryngology, West Suffolk Hospital, Bury St Edmunds, UK
A Sharma
Affiliation:
Department of Otorhinolaryngology, West Suffolk Hospital, Bury St Edmunds, UK
D C McKiernan
Affiliation:
Department of Otorhinolaryngology, West Suffolk Hospital, Bury St Edmunds, UK
*
Address for correspondence: Mr Carl Philpott, 2804 Alberni Street, Vancouver, British Columbia, Canada, V6E 1A6 E-mail: carl.philpott@btinternet.com
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Abstract

Objectives:

Methicillin-resistant Staphylococcus aureus infections are becoming an increasing problem, but the link with symptomatic sino-nasal infection has not previously been quantified. The aim of this study was to determine the incidence of methicillin-resistant Staphylococcus aureus infection in patients undergoing sino-nasal surgery.

Design:

A retrospective study of case notes.

Setting:

A district general hospital.

Patients:

One hundred and fifty-one adult patients undergoing in-patient endonasal surgery over a 12-month period were considered for the study.

Main outcome measures:

Swab results from pre-operative screening and from any intra- and post-operative samples of infective mucopus.

Results:

One hundred and fifty-one patients undergoing endonasal surgery were included. All patients had pre-operative nasal swabs taken. Twenty-five patients had peri-operative microbiology samples taken. Only one middle meatal swab was found to contain methicillin-resistant Staphylococcus aureus. No patients had methicillin-resistant Staphylococcus aureus detected on pre-operative screening. Haemophilus influenzae was the most common organism detected.

Conclusion:

Methicillin-resistant Staphylococcus aureus infection does not represent a significant source of morbidity in our practice.

Keywords

Staphylococcus AureusMicrobial Drug ResistanceMethicillinNasal Surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 2 , February 2009 , pp. 191 - 194
Copyright
Copyright © JLO (1984) Limited 2008

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Footnotes

Presented as a poster at the British Rhinological Society Meeting, 25 May 2007, London, UK.

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