| Screening and Treatment of Methicillin-Resistant Staphylococcus aureus in Children Undergoing Open Airway Surgery [Original Article] |
| Archives of Otolaryngology February 1, 2012, 12:00 pm |
| Objectives (1) To determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization in children undergoing open airway surgery using a screening protocol; (2) to examine the rates of postoperative infection in this cohort; and (3) to determine adherence to a MRSA antibiotic protocol.
Design Retrospective cohort study.
Setting Tertiary pediatric referral center.
Patients The study population comprised 180 children undergoing 197 open airway operations from January 2007 to March 2009 at the Cincinnati Children's Hospital Medical Center.
Intervention Methicillin-resistant Staphylococcus aureus screening and treatment protocol.
Main Outcome Measures Prevalence of MRSA colonization, postoperative infection rates, colonization rates by site, and adherence to antibiotic protocol.
Results A total of 180 patients who underwent 197 operations were included in the study. The overall prevalence of MRSA was 32.5%. There were no significant differences between MRSA-colonized and noncolonized patients regarding age at surgery, sex, gestational age at birth, or comorbidities. Postoperative infection rates were similar between the 2 groups (16% MRSA colonized; 17% MRSA noncolonized). Three patients who developed postoperative MRSA infections were MRSA negative on preoperative screening. Intraoperative adherence was high in both groups.
Conclusions We describe a MRSA screening and treatment protocol for children undergoing open airway surgery. We found a high prevalence (32.5%) of MRSA colonization in these patients. Treatment of MRSA-colonized patients resulted in postoperative infection rates similar to those in MRSA-noncolonized patients. Treatment of MRSA-colonized patients resulted in no MRSA-associated postoperative infections, graft loss, or dehiscence. MRSA screening and treatment protocols may be helpful in minimizing MRSA-associated postoperative infections in these patients. |
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| Incidence of Pediatric Acute Mastoiditis: 1997-2006 [Original Article] |
| Archives of Otolaryngology April 16, 2012, 12:00 pm |
| Objectives To evaluate the incidence of acute mastoiditis in children in the United States over the years 1997 through 2006 and to explore possible explanations for the conflicting conclusions of recent studies of this topic.
Design Comparison of periodic incidence over a decade.
Setting Academic and community, general, and pediatric specialty hospitals |
| Incidence of Pediatric Acute Mastoiditis: 1997-2006 [Original Article] |
| Archives of Otolaryngology April 16, 2012, 12:00 pm |
| Objectives To evaluate the incidence of acute mastoiditis in children in the United States over the years 1997 through 2006 and to explore possible explanations for the conflicting conclusions of recent studies of this topic.
Design Comparison of periodic incidence over a decade.
Setting Academic and community, general, and pediatric specialty hospitals |
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