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Facial Plast Surg 2012; 28(03): 354-357
DOI: 10.1055/s-0032-1312693
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Methicillin-Resistant Staphylococcus aureus–Associated Infections following Septorhinoplasty

Waleed M. Abuzeid
1   Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
,
Michael G. Brandt
1   Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
,
Jeffrey S. Moyer
1   Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
,
Shan R. Baker
1   Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
› Author Affiliations
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Publication History

Publication Date:
21 June 2012 (online)

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Abstract

Septorhinoplasty is associated with postoperative infection in less than 2% of cases, even without the use of prophylactic antibiotics. However, there is a concern that increasingly prevalent, highly virulent pathogens such as MRSA may predispose to postoperative infections. Over the past several decades, MRSA has emerged as the most important cause of antibiotic-resistant nosocomial infection. MRSA-associated infections related to nasal surgery are underreported in the literature. We present a case of MRSA-associated infection following a routine septorhinoplasty in a health care worker. We discuss the incidence of this complication and contributing risk factors. The classification of MRSA-associated infections into genotypically distinct hospital-acquired and community-acquired subtypes is reviewed, and the associated differences in epidemiology, clinical presentation, and antibiotic susceptibility are discussed. A comprehensive strategy incorporating diagnostic workup, preventative management based upon preoperative risk stratification, and treatment of MRSA-associated soft tissue infections is presented.

Keywords

septorhinoplasty - rhinoplasty - infection - MRSA - complications
 

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