Multiresistant pathogens in surgery

Nosocomial infections caused by multidrug resistant organism (MDRO) are an increasingly common healthcare-associated problem. In surgery methicillin-resistant Staphylococcus aureus (MRSA) is still the most important of these bacteria, and the management of MRSA infections and the prevention of their nosocomial transmission are a major challenge. Hence, a comprehensive strategy for the prevention of nosocomial MRSA infections is imperative including optimization of antibiotic use in hospital, antibiotic stewardship as well as admission surveillance cultures, and improved compliance of hand hygiene.