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2 results

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

  • C M Philpott, A Sharma, D C McKiernan
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 2 / February 2009
    Published online by Cambridge University Press:
    09 June 2008, pp. 191-194
    Print publication:
    February 2009
  • 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.

  • Methicillin resistant Staphylococcus aureus: is it a problem for nasal surgery?

  • A Sharma, C Philpott, L Pope, D McKiernan
  • Journal:
    The Journal of Laryngology & Otology / Volume 121 / Issue 5 / May 2007
    Published online by Cambridge University Press:
    11 October 2006, pp. 415-418
    Print publication:
    May 2007

  • Methicillin resistant Staphylococcus aureus (MRSA) is becoming ever more prevalent in the UK, and the proportion of MRSA to methicillin sensitive Staphylococcus aureus (MSSA) seems to be increasing. New strains of MRSA are ever developing resistance to antibiotic treatment, increasing morbidity and mortality of infection.

    Staphylococcus aureus is part of the normal flora of the nose, and MRSA colonizes the nose in infection. However, nasal surgery is rarely complicated by staphylococcal infections, and MRSA infection following nasal surgery is rare.

    The authors present a literature review of MRSA infection, its relation to the nasal cavity, and infection following nasal surgery.