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.