Skip to main content
Top
Published in: Journal of Orthopaedics and Traumatology 1/2010

Open Access 01-03-2010 | Brief Communication

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

Authors: M. Portigliatti Barbos, Barbara Mognetti, S. Pecoraro, W. Picco, V. Veglio

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2010

Login to get access

Abstract

Background

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.

Materials and methods

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.

Results

Retrospective study of 1,000 consecutive patients operated before surgical team decolonization showed 6‰ SSIs. Of the 300 cases considered after decolonization, none developed SSI.

Conclusions

Though we are aware that more data need to be collected, this work might be relevant for the introduction of a new preventive protocol.
Literature
1.
go back to reference Whitehouse JD, Friedman ND, Kirkland KB et al (2002) The impact of surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse quality of life, excess length of stay, and extra cost. Infect Control Hosp Epidemiol 23:183–189PubMedCrossRef Whitehouse JD, Friedman ND, Kirkland KB et al (2002) The impact of surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse quality of life, excess length of stay, and extra cost. Infect Control Hosp Epidemiol 23:183–189PubMedCrossRef
2.
go back to reference Kalmeijer MD, van Nieuwland-Bollen E, Bogaers-Hofman D et al (2000) Nasal carriage of Staphylococcus aureus is a major risk factor for surgical-site infections in orthopedic surgery. Infect Control Hosp Epidemiol 21:319–323PubMedCrossRef Kalmeijer MD, van Nieuwland-Bollen E, Bogaers-Hofman D et al (2000) Nasal carriage of Staphylococcus aureus is a major risk factor for surgical-site infections in orthopedic surgery. Infect Control Hosp Epidemiol 21:319–323PubMedCrossRef
3.
go back to reference Kluytmans J, van Belkum A, Verbrugh H (1997) Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks. Clin Microbiol Rev 10:505–520PubMedCentralPubMed Kluytmans J, van Belkum A, Verbrugh H (1997) Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks. Clin Microbiol Rev 10:505–520PubMedCentralPubMed
4.
go back to reference Wilcox MH, Hall J, Pike H et al (2003) Use of perioperative mupirocin to prevent methicillin-resistant Staphylococcus aureus (MRSA) orthopaedic surgical site infections. J Hosp Infect 54:196–201PubMedCrossRef Wilcox MH, Hall J, Pike H et al (2003) Use of perioperative mupirocin to prevent methicillin-resistant Staphylococcus aureus (MRSA) orthopaedic surgical site infections. J Hosp Infect 54:196–201PubMedCrossRef
5.
go back to reference Gernaat-van der Sluis AJ, Hoogenboom-Verdegaal AM, Edixhoven PJ et al (1998) Prophylactic mupirocin could reduce orthopedic wound infections. 1044 patients treated with mupirocin compared with 1260 historical controls. Acta Orthop Scand 69:412–414PubMedCrossRef Gernaat-van der Sluis AJ, Hoogenboom-Verdegaal AM, Edixhoven PJ et al (1998) Prophylactic mupirocin could reduce orthopedic wound infections. 1044 patients treated with mupirocin compared with 1260 historical controls. Acta Orthop Scand 69:412–414PubMedCrossRef
6.
go back to reference Mangram AJ, Horan TC, Pearson ML et al (1999) Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 20:250PubMedCrossRef Mangram AJ, Horan TC, Pearson ML et al (1999) Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 20:250PubMedCrossRef
Metadata
Title
Decolonization of orthopedic surgical team S. aureus carriers: impact on surgical-site infections
Authors
M. Portigliatti Barbos
Barbara Mognetti
S. Pecoraro
W. Picco
V. Veglio
Publication date
01-03-2010
Publisher
Springer International Publishing
Published in
Journal of Orthopaedics and Traumatology / Issue 1/2010
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI
https://doi.org/10.1007/s10195-010-0081-3

Other articles of this Issue 1/2010

Journal of Orthopaedics and Traumatology 1/2010 Go to the issue