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Utility and cost of umbilical cord methicillin-resistant Staphylococcus aureus surveillance testing in neonates
Kristen Ferlisi1, Alexandra Armstrong2, Jennifer Ormsby3
1Infection Prevention and Control, Boston Children's Hospital, Boston, MA.
To assess the utility of umbilical surveillance cultures for methicillin-resistant Staphylococcus aureus colonization in neonates, we performed a retrospective cohort study in patients in a neonatal intensive care unit (NICU). Over 6 years, 6/1,908 (0.32%) umbilical cultures were positive, all from patients with a concomitant positive culture from either the nares or rectum. The cost of umbilical cultures was $184,535. The value of neonatal umbilical methicillin-resistant S. aureus screening appears limited.
To assess the utility of umbilical surveillance cultures for methicillin-resistant Staphylococcus aureus colonization in neonates, we performed a retrospective cohort study in patients in a neonatal intensive care unit (NICU). Over 6 years, 6/1,908 (0.32%) umbilical cultures were positive, all from patients with a concomitant positive culture from either the nares or rectum. The cost of umbilical cultures was $184,535. The value of neonatal umbilical methicillin-resistant S. aureus screening appears limited.
