Prevalence of methicillin-resistant Staphylococcus aureus nasal carriage among patients with femoral neck fractures: implication for antibiotic prophylaxis

Infect Control Hosp Epidemiol. 2004 Jun;25(6):515-7. doi: 10.1086/502432.

Abstract

Fifteen (8.4%) of 179 patients admitted with femoral neck fractures carried MRSA. Among 96 patients admitted from their homes, only 2 (2%) were carriers, whereas 13 (15.6%) of 83 patients from nursing or residential homes or long-term-care facilities were colonized (P = .001). Routine prophylaxis with vancomycin is recommended in the latter group.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / pharmacology
  • Antibiotic Prophylaxis
  • Carrier State / epidemiology
  • Carrier State / microbiology*
  • Cross Infection / epidemiology*
  • Cross Infection / microbiology
  • Female
  • Femoral Neck Fractures / microbiology*
  • Femoral Neck Fractures / surgery
  • France / epidemiology
  • Housing / classification
  • Humans
  • Male
  • Methicillin Resistance*
  • Nasal Mucosa / microbiology*
  • Nursing Homes
  • Prevalence
  • Staphylococcal Infections / epidemiology*
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / isolation & purification*
  • Surgical Wound Infection / epidemiology*
  • Surgical Wound Infection / microbiology
  • Vancomycin / pharmacology

Substances

  • Anti-Bacterial Agents
  • Vancomycin