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Updated: Jun 8, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)

Published on: February 9, 2011

MRSA screening in the vascular day-case population.

Y Ahmad¹, S Khandelwal, A M Nicolson

¹Department of Vascular Surgery, Selly Oak Hospital, University Hospitals Birmingham NHS Foundation Trust, UK. yousif.ahmad@uhb.nhs.uk

Annals of the Royal College of Surgeons of England

|September 25, 2010

Summary

UK screening policy for methicillin-resistant Staphylococcus aureus (MRSA) in day-case surgery is not cost-effective. Selective screening of high-risk patients is recommended over universal MRSA screening.

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Last Updated: Jun 8, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)

Published on: February 9, 2011

Area of Science:

Infectious Diseases
Healthcare Policy
Surgical Patient Care

Background:

UK government prioritized methicillin-resistant Staphylococcus aureus (MRSA) screening for day-case surgical patients starting April 2009.
New operational guidance mandated universal screening for this patient group.
This study aimed to assess MRSA prevalence and screening effectiveness in vascular day-case surgery.

Purpose of the Study:

Quantify MRSA-positive cases within the vascular day-case surgery population over one year.
Identify risk factors associated with MRSA in this cohort.
Evaluate the impact of new Department of Health (DH) guidance on screening rates.

Main Methods:

Prospective review of electronic records and laboratory culture results.
Identification of screened patients and MRSA isolation.
Assessment for delayed discharges or MRSA-related complications.

Main Results:

Six patients (2.1%) screened positive for MRSA; five were previously known MRSA carriers.
Only 0.36% of patients were newly identified as MRSA-positive.
Screening rates increased from 35% to 72.5% post-April 2009, aligning with DH guidance.

Conclusions:

The assumptions justifying expanded MRSA screening policy are disputed.
Universal MRSA screening for all vascular day-case admissions is not cost-effective.
Recommend selective screening for patients with prior MRSA identification or high-risk factors.