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Risk Factors for Methicillin-Resistant Staphylococcus aureus Surgical Site Infection

Published online by Cambridge University Press:  02 January 2015

Stephan Harbarth ,
Benedikt Huttner ,
Pascal Gervaz ,
Carolina Fankhauser ,
Marie-Noelle Chraiti ,
Jacques Schrenzel ,
Marc Licker  and
Didier Pittet
Stephan Harbarth*
Affiliation:
Infection Control Program, University of Geneva Hospitals and Medical School, Geneva, Switzerland
Benedikt Huttner
Affiliation:
Infection Control Program, University of Geneva Hospitals and Medical School, Geneva, Switzerland
Pascal Gervaz
Affiliation:
Department of Surgery, University of Geneva Hospitals and Medical School, Geneva, Switzerland
Carolina Fankhauser
Affiliation:
Infection Control Program, University of Geneva Hospitals and Medical School, Geneva, Switzerland
Marie-Noelle Chraiti
Affiliation:
Infection Control Program, University of Geneva Hospitals and Medical School, Geneva, Switzerland
Jacques Schrenzel
Affiliation:
Microbiology Laboratory, University of Geneva Hospitals and Medical School, Geneva, Switzerland
Marc Licker
Affiliation:
Department of Anesthesiology, Pharmacology and Intensive Care, University of Geneva Hospitals and Medical School, Geneva, Switzerland
Didier Pittet
Affiliation:
Infection Control Program, University of Geneva Hospitals and Medical School, Geneva, Switzerland
*
Infection Control Program, University of Geneva Hospitals and Medical School, 24, rue Micheli-du-Crest, 1211 Geneva 14 - , Switzerland (stephan.harbarth@hcuge.ch)
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Abstract

We prospectively evaluated 46 possible risk factors for methicillin-resistant Staphylococcus aureus (MRSA) surgical site infection (SSI) among patients with MRSA carriage in a large intervention study. Of 6,130 study patients, 68 (1.1%) developed MRSA SSI, which occurred a median of 14 days after surgery. Risk factors associated with MRSA SSI were receipt of emergency surgery, presence of comorbid condition, receipt of immunosuppressive therapy, receipt of contaminated surgery, and a surgical duration longer than the 75th percentile. MRSA carriage on admission did not predict MRSA SSI.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 9 , September 2008 , pp. 890 - 893
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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