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Table 4 Suggested score to assess the risk of MRSA SSIs

From: Early recognition of methicillin-resistant Staphylococcus aureus surgical site infections using risk and protective factors identified by a group of Italian surgeons through Delphi method

MRSA SSIs risk and protective factors

Sepsis signs and severity

Major risk factor

Duration of hospitalization > 2 weeks

Major risk factor

Age > 75 years

Major risk factor

Colonization by MRSA

Major risk factor

Diabetes (HbA1c > 7)

Major risk factor

Procalcitonin dosage >3 mg/dl

Minor risk factor

Previous admission in hospital (6 months) and/or rehabilitation structure

Minor risk factor

Previous treatment with antibiotics, from 30 days to 12 months

Minor risk factor

ICU admission during the previous 12 months

Minor risk factor

Any prosthetic surgery

Minor risk factor

Obesity (BMI > 30)

Minor risk factor

Steroids and immunosuppressive treatment

Minor risk factor

Previous hospital admission from 30 days to 6 months

Minor risk factor

Renal insufficiency

Minor risk factor

Chronic obstructive pulmonary disease

Minor risk factor

Other antibiotic therapy from 30 days to 6 months

Minor risk factor

Surgical procedure lasting more than 3 h

Minor risk factor

Adequate antibiotic prophylaxis

Major protective factor

Laparoscopic technique

Major protective factor

Hospital with an Infection Surveillance Committee

Major protective factor

  1. ICU intensive care unit, HbA1c glycated hemoglobin, BMI body mass index