TY - JOUR AU - Abuzeid, Waleed M.; Brandt, Michael G.; Moyer, Jeffrey S.; Baker, Shan R. TI - Methicillin-Resistant Staphylococcus aureus–Associated Infections following Septorhinoplasty SN - 0736-6825 SN - 1098-8793 PY - 2012 JO - Facial Plast Surg JF - Facial Plastic Surgery LA - EN VL - 28 IS - 03 SP - 354 EP - 357 DA - 2012/06/21 KW - septorhinoplasty KW - rhinoplasty KW - infection KW - MRSA KW - complications AB - 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. PB - Thieme Medical Publishers DO - 10.1055/s-0032-1312693 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0032-1312693 ER -