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Updated: Jul 4, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Does methicillin-resistant Staphylococcus aureus have a significant role in the peri-operative course of patients
C M Philpott1, A Sharma, D C McKiernan
1Department of Otorhinolaryngology, West Suffolk Hospital, Bury St Edmunds, UK. carl.philpott@btinternet.com
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.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) is a growing concern. This study found MRSA infections are not a significant issue for patients undergoing sino-nasal surgery, with only one case detected.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Microbiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) infections pose a significant global health challenge.
- The prevalence of MRSA in sino-nasal infections, particularly in surgical patients, remains underquantified.
Purpose of the Study:
- To investigate the incidence of MRSA in patients undergoing endonasal surgery.
- To assess the risk of MRSA as a source of morbidity in this patient population.
Main Methods:
- Retrospective case note review of 151 adult patients undergoing in-patient endonasal surgery.
- Analysis of pre-operative nasal swabs and peri-operative microbiology samples.
Main Results:
- MRSA was detected in only one of 151 patients (0.66%).
- No pre-operative MRSA screening identified positive cases.
- Haemophilus influenzae was the most frequently identified organism.
Conclusions:
- MRSA does not appear to be a significant cause of morbidity in patients undergoing sino-nasal surgery in this district general hospital.
- Routine pre-operative MRSA screening may not be necessary for this surgical group.
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