Methicillin-resistant staphylococcal infections: an important consideration for orthopedic surgeons.

Orthopedics
Wael E Shams, Robert P Rapp

Abstract

Postoperative infections in joint prostheses and fracture-fixation devices commonly involve both MRSA and methicillin resistant coagulase-negative staphylococcus. In addition, community-acquired MRSA has also become an important consideration when infected patients are admitted to the hospital from the community. Preoperative colonization with MRSA and methicillin resistant coagulase-negative staphylococcus increases the risk of postoperative surgical site infections in orthopedic patients. Up to 5.3% of orthopedic patients are colonized with these organisms on hospital admission. Screening and decolonization of methicillin resistant staphylococci decrease the incidence of postoperative surgical site infections in the orthopedic patient. This may be particularly important in orthopedic implants given the difficulty encountered in treating infected prosthesis. Current US guidelines advocate screening for methicillin resistant staphylococci only when risk factors are present. Growing evidence suggests that screening and decolinization of all patients having elective orthopedic procedures, especially those including prosthetic implants, will decrease the incidence of postoperative infections. The infected prosthesis may be potenti...Continue Reading

References

May 1, 1997·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·X CorbellaF Gudiol
Jan 9, 1998·Infectious Disease Clinics of North America·M C MarananR S Daum
Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
May 29, 1999·The American Journal of Medicine·L A Herwaldt
Feb 24, 2001·The Medical Clinics of North America·N C Klein, B A Cunha
Apr 11, 2001·Emerging Infectious Diseases·H F Chambers
Dec 6, 2001·The Pediatric Infectious Disease Journal·J E Fergie, K Purcell
Jan 5, 2002·The Journal of Hospital Infection·J M Boyce
Mar 15, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Meredith S ArnoldNancy C Vallande
Apr 9, 2002·Journal of Chemotherapy·F de Lalla
Jan 11, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Cassandra D SalgadoDavid P Calfee
May 17, 2003·International Orthopaedics·J C De Lucas-VillarrubiaE Gomez-Barrena
Jun 28, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Battouli Saïd-SalimBarry N Kreiswirth
Dec 5, 2003·Der Orthopäde·K-P HunfeldM Rittmeister
Mar 17, 2004·The Journal of Hospital Infection·D El-ZimaityE Moseley
Apr 9, 2004·The New England Journal of Medicine·Rabih O Darouiche

❮ Previous
Next ❯

Citations

Jun 5, 2007·The Journal of Bone and Joint Surgery. American Volume·Yogesh MittalDouglas Osmon
Apr 6, 2011·The Journal of Bone and Joint Surgery. British Volume·E MurphyM J G Blyth
Sep 13, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Stephan HarbarthDidier Pittet
Mar 28, 2012·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·S M LattarD O Sordelli
May 16, 2012·Clinical Orthopaedics and Related Research·Jessica Amber JenningsWarren O Haggard
Feb 5, 2009·The Journal of Bone and Joint Surgery. British Volume·S ShuklaR Pandey
Nov 12, 2009·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Takafumi ShimazakiTakao Hotokebuchi
Jun 16, 2005·Expert Review of Anti-infective Therapy·Matteo BassettiDante Bassetti
Nov 13, 2014·PloS One·Moaven RazaviWilliam B Stason
Dec 17, 2010·Clinical Orthopaedics and Related Research·Fay LeungClive P Duncan
Apr 22, 2006·JAAPA : Official Journal of the American Academy of Physician Assistants·Patti Ragan
May 25, 2006·The Journal of Bone and Joint Surgery. British Volume·S J RocheJ P McCabe
May 25, 2006·The Journal of Bone and Joint Surgery. British Volume·M NixonG Taylor
Dec 8, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jacques MerrerMichel Leneveu
Nov 22, 2005·Infectious Disease Clinics of North America·Camelia E Marculescu, Douglas R Osmon

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

CRISPR & Staphylococcus

CRISPR-Cas system enables the editing of genes to create or correct mutations. Staphylococci are associated with life-threatening infections in hospitals, as well as the community. Here is the latest research on how CRISPR-Cas system can be used for treatment of Staphylococcal infections.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Bruce Y LeeLee M Harrison
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Gary A NoskinMurtuza Bharmal
The American Journal of Managed Care
Bruce Y LeeRobert R Muder
© 2022 Meta ULC. All rights reserved