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Updated: Jul 30, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Effective control of methicillin-resistant Staphylococcus aureus in a burn unit
H Matsumura1, N Yoshizawa, A Narumi
1Department of Plastic and Reconstructive Surgery, Tokyo Medical College Hospital, Japan.
Abstract:
Methicillin-resistant Staph, aureus (MRSA) colonization and infection was studied in 231 patients who were admitted to our burn unit and remained for 3 days or more between 1986 and 1994 (patients with inhalation injury only and no burn wound were excluded). The study was divided into two periods: from 1988 to 1989 and from 1990 to 1994. MRSA was found in 80 patients. They increased from 1986 to 1988, slightly decreasing thereafter. In 1994 the incidence of MRSA was 4.3 per cent. The number of strains of MRSA isolated from burn wounds was significantly reduced in the later period. Comparing the two periods, isolation of patients from MRSA, prevention of contamination during care, and reduction in the number of patients initially given second- or third-generation cephem antibiotics were performed more strictly in the later period. The effectiveness of these measures was confirmed. Moreover, the first operation was carried out significantly earlier in the later period. Early excision and early closure of the wound was more effective in preventing and controlling MRSA colonization and infection.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) infection in burn patients decreased with stricter isolation and antibiotic protocols. Early wound care significantly reduced MRSA colonization and infection rates.
Area of Science:
- Infectious Diseases
- Burn Care
- Microbiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant threat in burn units.
- Understanding MRSA epidemiology and control is crucial for patient outcomes.
Purpose of the Study:
- To analyze trends in MRSA colonization and infection in burn patients.
- To evaluate the effectiveness of infection control measures and surgical interventions.
Main Methods:
- Retrospective study of 231 burn patients admitted between 1986-1994.
- Divided study into two periods (1988-1989 and 1990-1994) for comparative analysis.
- Monitored MRSA incidence, isolation, and antibiotic use.
Main Results:
- MRSA was found in 80 patients, with incidence peaking in 1986-1988 and decreasing thereafter.
- The number of MRSA strains isolated from burn wounds significantly reduced in the later period.
- Stricter isolation, contamination prevention, reduced second/third-generation cephem use, and earlier surgery were implemented in the later period.
Conclusions:
- Implemented infection control measures, including patient isolation and strict hygiene, were effective in reducing MRSA.
- Early wound excision and closure demonstrated superior efficacy in preventing and controlling MRSA colonization and infection.
- A multidisciplinary approach combining infection control and timely surgical intervention is key to managing MRSA in burn units.
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