Implication for health policy/practice/research/medical education:
Methicillin resistant Staphylococcus aureus (MRSA) infections of endogenous origin are
important causes of morbidity and mortality in immunocompromised hemodialysis patients.
MRSA colonization at extra-renal sites is increasingly recognized in patient subpopulations
at risk. However, the prevalence of extrarenal MRSA colonization in dialysis patients is
largely unknown. Of clinical importance, extra-nasal MRSA colonization predisposes to
blood stream infections in hemodialysis patients with non-cuffed central vein catheter.
Routine extra-nasal testing of hemodialysis patients should be recommended for successful
decolonization and reduction of life-threatening infections.
Please cite this paper as: Schiffl H. Extra-nasal methicillin-resistant Staphylococcus aureus
colonization and maintenance hemodialysis patients. J Nephropharmacol. 2019;8(2):e28.