Does Staphylococcus Aureus Nasal Carriage Require Eradication Prior to Elective Ambulatory Surgery in Children?

Overview

Journal Pediatr Surg Int

Specialties General Surgery
Pediatrics

Date 2014 Mar 8

PMID 24604389

Citations 2

Authors

Zvi Steiner

Orna Ben Natan

Igor Sukhotnik

Arnold G Coran

Gershon Keren

Affiliations

Soon will be listed here.

Abstract

Purpose: Rates of community-associated Staphylococcus aureus, and particularly of methicillin-resistant Staphylococcus aureus (MRSA) in children, have increased in recent years. We investigated rates of nasal colonization of S. aureus, and a possible correlation between nasal carriage and wound infection.

Methods: A prospective study of children scheduled for elective day-care surgical procedures between January 2008 and December 2012 at one medical center. Nasal swabs were taken before surgery, and follow-up was performed 1-2 weeks following surgery.

Results: Of 1,127 children (median age 2 years, 70.6% males), positive nasal swabs were detected in 228 (20.2%). Rates of S. aureus nasal carriage were lowest for ages 6 months to 2 years and highest for ages 4-11 years. Child's sex did not associate with the risk for positive nasal swabs. Positive nasal swabs for MRSA were detected in five boys (0.62% of the population). Five children (0.44%) had wound infection. None of them was a nasal carrier.

Conclusions: No correlation was observed between positive nasal swabs and wound infection in children who were candidates for elective ambulatory operations. This suggests that evaluation of S. aureus nasal carriage and eradication may not be necessary in this population.

Citing Articles

Staphylococcus aureus colonization and risk of surgical site infection in children undergoing clean elective surgery: A cohort study.

Esposito S, Terranova L, Macchini F, Bianchini S, Biffi G, Vigano M Medicine (Baltimore). 2018; 97(27):e11097.

PMID: 29979379 PMC: 6076197. DOI: 10.1097/MD.0000000000011097.

Preoperative Staphylococcus aureus Carriage and Risk of Surgical Site Infection After Cardiac Surgery in Children Younger than 1 year: A Pilot Cohort Study.

Macher J, Gras Le Guen C, Chenouard A, Liet J, Gaillard Le Roux B, Legrand A Pediatr Cardiol. 2016; 38(1):176-183.

PMID: 27844091 DOI: 10.1007/s00246-016-1499-z.

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