Role of nasal swab culture in guiding antimicrobial therapy for acute cellulitis in the era of community-acquired methicillin-resistant Staphylococcus aureus: A prospective study of 89 patients

Meng-Shiuan Hsu; Chun-Hsing Liao; Chi-Tai Fang

doi:10.1016/j.jmii.2019.04.001

Journal of Microbiology, Immunology and Infection (Jun 2019)

Role of nasal swab culture in guiding antimicrobial therapy for acute cellulitis in the era of community-acquired methicillin-resistant Staphylococcus aureus: A prospective study of 89 patients

Meng-Shiuan Hsu,
Chun-Hsing Liao,
Chi-Tai Fang

Affiliations

Meng-Shiuan Hsu: Department of Internal Medicine, Section of Infectious Disease, Far Eastern Memorial Hospital, Taipei, Taiwan
Chun-Hsing Liao: Department of Internal Medicine, Section of Infectious Disease, Far Eastern Memorial Hospital, Taipei, Taiwan; Department of Medicine, National Yang-Ming University, Taipei, Taiwan; Corresponding author. Department of Internal Medicine, Section of Infectious Disease, Far Eastern Memorial Hospital, 21 Nan-Ya South Road, Section 2, Pan-Chiao, Taipei, Taiwan.
Chi-Tai Fang: Division of Infectious Diseases, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; Institution of Epidemiology and Preventive Medicine, Collage of Public Health, National Taiwan University, Taipei, Taiwan; Corresponding author. Division of Infectious Diseases, Department of Internal Medicine, National Taiwan University Hospital, 7 Chun-Shan South Road, Taipei, Taiwan.

DOI: https://doi.org/10.1016/j.jmii.2019.04.001
Journal volume & issue: Vol. 52, no. 3
pp. 494 – 497

Abstract

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In this prospective study of 89 patients with acute cellulitis, we showed nasal swab culture of methicillin-resistant Staphylococcus aureus (MRSA), taken at enrollment, has a high specificity of 95% in predicting MRSA cellulitis among the 24 patients whose cellulitis became purulent. However, the sensitivity is only 20%. Keywords: Staphylococcus aureus, MRSA, Cellulitis, Nasal colonization

Published in Journal of Microbiology, Immunology and Infection

ISSN: 1684-1182 (Print)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Science: Microbiology
Website: https://www.sciencedirect.com/journal/journal-of-microbiology-immunology-and-infection

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