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Updated: Jun 23, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Peristomal MRSA: a case study
1Stoma Care at Guy's and St Thomas NHS Trust, London, UK.
Abstract:
This article shares clinical skills and knowledge through the use of a case study. Prolonged peristomal soreness had led to the loss of independence in a patient with a newly formed stoma due to the unrecognized bacterial infection of meticillin-resistant Staphylococcus aureus (MRSA). By considering this case scenario, the article will explore the assessment of peristomal MRSA and reflect upon its management.
Insights
A patient with a new stoma lost independence due to unrecognized methicillin-resistant Staphylococcus aureus (MRSA) causing prolonged peristomal soreness. Early assessment and management of MRSA are crucial for stoma care and patient autonomy.
Area of Science:
- Clinical Medicine
- Infectious Diseases
- Wound Care
Background:
- Stoma formation can lead to complications, including skin irritation and infection.
- Peristomal skin integrity is vital for patient quality of life and independence.
- Meticillin-resistant Staphylococcus aureus (MRSA) is a significant healthcare-associated pathogen.
Observation:
- A patient with a newly formed stoma experienced prolonged peristomal soreness.
- The soreness was attributed to an unrecognized bacterial infection.
- The patient's independence was compromised due to the persistent discomfort.
Findings:
- The unrecognized bacterial infection was identified as meticillin-resistant Staphylococcus aureus (MRSA).
- MRSA infection can manifest as severe peristomal soreness.
- Prompt diagnosis and treatment are essential for resolving the infection and restoring skin integrity.
Implications:
- This case highlights the importance of considering MRSA in the differential diagnosis of persistent peristomal soreness.
- Effective assessment strategies for peristomal MRSA are needed.
- Appropriate management protocols for MRSA in stoma patients can improve outcomes and restore patient independence.
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Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies: