Decolonization of orthopedic surgical team S. aureus carriers: impact on surgical-site infections.

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
M Portigliatti BarbosV Veglio

Abstract

Orthopedic surgical-site infection (SSI), mostly due to S. aureus, is recognized as a major adverse event. This research aims to verify the usefulness of surgical team decolonization in order to reduce the risk of surgical-site infection. We performed swabs of both nares and oropharynx to identify S. aureus carriers among orthopedic team members who consented to cooperate with the study. Carriers were treated with local application of mupirocin ointment. Retrospective study of 1,000 consecutive patients operated before surgical team decolonization showed 6 per thousand SSIs. Of the 300 cases considered after decolonization, none developed SSI. Though we are aware that more data need to be collected, this work might be relevant for the introduction of a new preventive protocol.

References

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Citations

Apr 5, 2013·Musculoskeletal Surgery·C FaldiniF Perna
May 29, 2013·The Spine Journal : Official Journal of the North American Spine Society·Jason W Savage, Paul A Anderson
Oct 21, 2014·Patient Safety in Surgery·David M Tsai, Edward J Caterson
Nov 13, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Yuriko FukutaRobert R Muder
Oct 16, 2015·Revista da Associação Médica Brasileira·Gabriel de Deus VieiraCamila Maciel de Sousa
Mar 7, 2013·Clinical Orthopaedics and Related Research·Antonia F ChenNalini Rao
Sep 1, 2013·Spine Deformity·Michelle C MarksUNKNOWN Harms Study Group
Mar 30, 2017·Neurosurgery·Paul A AndersonMohammed F Shamji

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