Sepsis & infection

Impact of Nasal Staphylococcus aureus Carriage on Ventilator-Associated Pneumonia after Acute Brain Injury

Anaesth Crit Care Pain MedPublished single-center observational study

Main finding · Occurrence of S. aureus VAPResult — go to the resultRelative risk 3.99 95% CI 1.70–9.53

Authors' conclusion

Nasal carriage of S. aureus at ICU admission could be associated with the occurrence of S. aureus VAP and overall early VAP in brain-injured patients.

Study context

Population
Consecutive adults admitted to the Intensive Care Unit (ICU) with acute brain injury requiring invasive mechanical ventilation for at least 48 hourspatients included, 37 (38.5%) nasal carriers of S. aureus
Participants
Ninety-six adults
Exposure
Carriers vs non-carriers of nasal S. aureus at ICU admission
  • Carriersn = 37
Outcome
Occurrence of S. aureus VAP
Follow-up
During ICU stay

Main finding

As reported in the abstract

Relative risk

3.99

95% CI 1.70–9.53

P = 0.001

By group

Carriers vs Non-carriers
RR 3.99 (95% CI 1.70–9.53); P = 0.001

Observational data: associations, not effects.

Secondary outcomes

Early VAP, regardless of pathogen · more frequent in carriers

45.9% vs. 18.6% · P = 0.02

Overall ventilator-associated pneumonia (VAP) (all patients)

Patients who developed VAP
44 patients (45.8%)

Overall incidence of VAP and other secondary outcomes

Did not differ significantly between groups

Original publication

Impact of Nasal Staphylococcus aureus Carriage on Ventilator-Associated Pneumonia after Acute Brain Injury. Anaesth Crit Care Pain Med. Published 2 October 2026. doi:10.1016/j.accpm.2026.101923

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