Epidemiologic and Economic Effect of Methicillin-Resistant Staphylococcus aureus in Obstetrics

Abstract

Methicillin-resistant S aureus is an important emerging pathogen responsible for a modest burden of puerperal infections and associated costs. Universal screening and decolonization efforts do not currently seem to be cost-effective.

Staphylococcus Infections in Pregnancy

“…48 In an evaluation of the economic burden of MRSA, Beigi et al estimated 5400 cases of postpartum surgical wound infections annually. 49 Part of the difficulty in establishing more accurate figures is the variability in coding as well as tracking readmission after childbirth. 44…”

Multiresistente Keime

“…In der Schwangerschaft geht man von einer Prävalenzrate für MRSA von 0,5 bis 4% aus. Dabei ist das Risiko einer vertikalen Transmission bei asymptomatisch kolonisierten Schwangeren sehr gering (etwa 0,4%) [10], weshalb ein Schwangerenscreening auf MRSA derzeit nicht empfohlen wird [11]. Bei Nachweis von MRE im Zervikal-oder Vaginalabstrich sollte eine antiseptische vaginale Therapie erfolgen.…”

Methicillin-Resistant Staphylococcus aureus as the Most Common Cause of Perineal Abscesses

“…Recent estimates show that MRSA is responsible for at least 357 invasive obstetric infections per 100,000 live births. 3 Vaginal colonization rates with MRSA in the pregnant population have been demonstrated to be between 0.5% and 2.8%. 4,5 Methicillin-resistant S. aureus is also a recognized cause of occasional serious infectious morbidity in the obstetric population including episiotomy infections, pneumonia, mastitis, cesarean wound infections, and pyomyositis.…”