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Los hisopados nasales de Staphylococcus aureus resistente a la meticilina predicen la necesidad de cobertura

Bryant McLafferty¹, Chelsea N Matzko, Lillian Belfi

¹From the Department of Surgery (B.M., C.N.M., J.Z., S.T., D.T., C.M., P.M., J.D., K.N.H.), Tulane University School of Medicine; LCMC Health (L.B.), University Medical Center New Orleans; and Department of Surgery (A.S.), Louisiana State University Health Sciences, New Orleans, Louisiana.

The journal of trauma and acute care surgery

|February 4, 2026

Resumen

Los hisopados nasales de Staphylococcus aureus resistente a la meticilina (SARM) tienen un alto valor predictivo negativo (VPN) en pacientes de trauma, lo que sugiere que pueden ayudar a guiar la administración de antibióticos al descartar la neumonía por SARM.

Sus antecedentes:

El cribado de hisopados nasales de Staphylococcus aureus resistente a la meticilina (SARM) es vital para la administración de antibióticos en UCI generales.
Los pacientes de trauma enfrentan un mayor riesgo de neumonía adquirida en el hospital, lo que requiere enfoques diagnósticos específicos.
El valor predictivo de los hisopados nasales de SARM para la neumonía por SARM en poblaciones de trauma requiere una mayor investigación.

Conclusiones:

El estudio destaca el alto VPN (96,5%) de los hisopados nasales de SARM en la predicción de neumonía por SARM y crecimiento de cultivos en pacientes de trauma.
Los hisopados nasales de SARM parecen ser una herramienta valiosa para guiar las decisiones de administración de antibióticos en esta población específica de alto riesgo.
Estos hallazgos respaldan el uso potencial de hisopados nasales de SARM para retener de manera segura la terapia antibiótica empírica para SARM para la NAV en pacientes de trauma.

Palabras clave:

Neumonía asociada al ventilador hisopado nasal unidad de cuidados intensivos de trauma

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