2153. Clinical Impact of Addition of Oropharynx MRSA PCR to Anterior Nares MRSA PCR for Patients Admitted with Pneumonia

摘要

BackgroundAnterior nares (AN) MRSA PCR can help identify MRSA colonization as a risk factor for MRSA pneumonia and can be especially useful, given high NPV, in making treatment decisions when lower respiratory tract (LRT) cultures are lacking. Oropharynx (OP) MRSA carriage without AN colonization can occur suggesting the potential benefit of duel site screening, but doubles resource utilization. We evaluated concordance between the AN and OP sites and whether the addition of OP MRSA PCR testing provides clinical benefit.