MRSA infections following colorectal surgery in an enhanced recovery programme
Colorectal Disease, 06/07/2012
Phillips AW et al. – The results suggest that patients who successfully undergo laparoscopic colorectal resections within an enhanced recovery programme have a lower incidence of post operative Methicillin Resistant Staphylococcus Aureus (MRSA) infections.Methods
- A prospective database of all patients undergoing colorectal resections by a single surgical team over a three and a half year period was reviewed.
- Demographics including age, gender, Body Mass Index (BMI), American Society of Anaesthesiologists classification (ASA), type of surgery (abdominal or pelvic) and whether or not the procedure was laparoscopic or open were analysed.
- All patients were screened pre and post operatively and on discharge for Methicillin Resistant Staphylococcus Aureus (MRSA).
- Patients found pre-operatively to be MRSA positive were excluded from the study.
- 186 patients underwent colorectal resection over the time reviewed.
- There were 113 laparoscopic resections, 70 open resections and 3 laparoscopic converted to open resections.
- Five patients (2.7%) were found to be MRSA positive post operatively.
- All of these had open rather than laparoscopic surgery (p<0.01).
- Length of stay for patients that had MRSA infections was significantly longer than those remaining MRSA free (p<0.05).