MRSA Infections Increasing in All Surgical Fields

A newly published study of four cases of MRSA (methicillin-resistant Staphylococcus aureus) infection in patients who had undergone face lift surgery warns that MRSA–positive surgical site infection "is an increasingly problematic issue in all surgical fields," and MRSA-positive infections "will be more prevalent and will require well-developed screening, prevention, and treatment strategies" in the future. The authors, Dr. Richard A. Zoumalan and Dr. David B. Rosenberg of the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Lennox Hill–Manhattan Eye, Ear, and Throat Hospital, said they believe theirs is the first study documenting MRSA-positive surgical site infections after face lift surgery.

Their results were published in the March-April 2008 issue of Archives of Facial Plastic Surgery (http://archfaci.ama-assn.org/cgi/content/full/10/2/116).

They examined the charts of 780 patients who had undergone a deep-plane rhytidectomy between 2001 and 2007, searching for postoperative wound infections. They identified five patients, four of whom had MRSA-positive infections that were treated successfully, but the two complicated infections that required hospitalization were the only ones among the five patients who had known recent contacts with another physician or a hospital, according to the paper.

MRSA is now the leading causative pathogen in surgical site infections. as well as in skin and soft tissue infections, Zoumalan and Rosenberg wrote. "In various recent studies involving patients who underwent vascular surgery, cardiac surgery, and orthopedic surgery, MRSA was the most common pathogen of surgical site infections. In most of the country, skin and soft tissue infections are now more likely to be MRSA positive. In Los Angeles County, [community acquired]-MRSA infections have rapidly become common and now exceed the frequency of infections caused by methicillin-sensitive Staphyloccocus aureus (MSSA)." Infections caused by MRSA cost approximately $3,700 more to treat than infections caused by MSSA, and the death rate for MRSA infection is nearly three times that of MSSA infection, according to their paper.

They also wrote that, while health care–associated MRSA is considered to be distinct from CA-MSRA, CA-MRSA recently entered the hospital setting, where it coexists with HA-MRSA; patients can acquire both strains from the hospital.

The recommend taking "every appropriate step" to prevent wound infections in facial plastic surgery, including chlorhexidine gluconate preoperative scrubbing and proper cleansing of a surgeon's hands between contacts with different patients.

Download Center

HTML - No Current Item Deck
  • Safety Management Software - Free Demo

    IndustrySafe Safety Software’s comprehensive suite of modules help organizations to record and manage incidents, inspections, hazards, behavior based safety observations, and much more. Improve safety with an easy to use tool for tracking, notifying and reporting on key safety data.

  • Create Flexible Safety Dashboards

    IndustrySafe’s Dashboard Module allows organizations allows you to easily create and view safety KPIs to help you make informed business decisions. Our best of breed default indicators can also save you valuable time and effort in monitoring safety metrics.

  • Schedule and Record Observations

    IndustrySafe's Observations module allows managers, supervisors, and employees to conduct observations on employees involved in safety critical behavior. IndustrySafe’s pre-built BBS checklists may be used as is, or can be customized to better suit the needs of your organization.

  • Why Is Near Miss Reporting Important?

    A near miss is an accident that's waiting to happen. Learn how to investigate these close calls and prevent more serious incidents from occurring in the future.

  • Get the Ultimate Guide to Safety Training

    When it comes to safety training, no matter the industry, there are always questions regarding requirements and certifications. We’ve put together a guide on key safety training topics, requirements for certifications, and answers to common FAQs.

  • Industry Safe
comments powered by Disqus

OH&S Digital Edition

  • OHS Magazine Digital Edition - May 2019

    May 2019

    Featuring:

    • RESPIRATORY PROTECTION
      Why Pick a PAPR? 
    • FIRE SAFETY TRAINING
      Fire Safety: Plan, Prevent, Train, Recover
    • PROTECTIVE APPAREL
      The Truth About Heat Stress and FRC
    • AIHCE EXP 2019 PREVIEW
      Underestimated No More
    View This Issue