Comprehensive Review of Methicillin-Resistant Staphylococcus aureus

Abstract

No Level I or II evidence was found regarding physician screening, treatment, or transmission. Current expert opinion, however, indicates that plastic surgeons and their staff should be vigilant for methicillin-resistant S. aureus transmission, and once a sentinel cluster of skin and soft-tissue infections is identified, systematic screening and decontamination should be considered. If positive, topical decolonization therapy should be offered. In refractory cases, oral antibiotic therapy may be required, but this should not be used as a first-line strategy.

Decolonization ofStaphylococcus aureusin Healthcare: A Dermatology Perspective

“…Many agents used in decolonization are presumed immune to bacterial resistance, offering some advantages when attempting to decolonize MRSA. Literature is rich in meta-analyses and systematic reviews for managing Staphylococcus colonization in patients undergoing dialysis [10], orthopedic surgery [11, 12], cardiac surgery [13, 14], plastic surgery [15], and general surgery [16, 17]. To date, there is not a published review regarding this topic in dermatology.…”