Epidemic MRSA Infection after Intranasal Surgery / 대한이비인후과학회지

ABSTRACT

In recent years, drug-resistant bacterial and nosocomial infections have been increased. The epidemic Methicillin Resistant Staphylococcus aureus (MRSA) infection after intranasal surgery was broken out at Wallace Memorial Baptist Hospital recently. MRSA was identified in 22 patients among 118 patients who underwent intranasal operation from January 23rd, 1996 to February 8th, 1996. Most patients represented symptoms the 7th day after the operation. Among 22 patients, 17 patients were treated with hydration, daily nasal dressing and intravenous antibiotics; Vancomycin or Ciprofloxacin was administrated in 11 patients, and primary antibiotics in five patients. Other five patients were treated with daily nasal dressing and oral antibiotics (Trimethoprim-Sulfamethoxazole or Ciprofloxacin). One of Vancomycin-treated patients developed sepsis. No further MRSA infection occurred after emphasizing thorough hand-washing, sterilization and disinfection of equipment, and control of health care providers, showing that the prevention of MRSA infection is very important.