Preoperative nasal screening for Staph. aureus carriage and load reduction (HNE LHD)

Indications for preoperative screening for Staphylococcus aureus (MSSA or MRSA) nasal carriage and preoperative staphylococcal load reduction (HNE LHD):

  • Open cardiac and valve procedures
  • Shoulder, hip or knee joint total arthroplasties: primary or revision procedures
  • Aortic work (stent and open) and all lower limb open surgery for vascular reconstructions (bypass, endarterectomy). Iliac stents (as they are a covered stent)
  • Haemodialysis catheter insertions


  • Screen for MSSA or MRSA carriage with a single nose swab culture (repeat if surgery delayed > 1 month)
  • Carriers of MSSA or MRSA have staphylococcal load reduction performed in the week prior to surgery

Information sheets (HNE Health)

Surgical antibiotic prophylaxis recommendations


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