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

• Published in: Journal of orthopaedics and traumatology 2010-03, Vol.11 (1), p.47-49
• Main Authors: Portigliatti Barbos, M., Mognetti, Barbara, Pecoraro, S., Picco, W., Veglio, V.
• Format: Article
• Language: English
• Subjects: Anesthesiology; Anti-Bacterial Agents - administration & dosage; Brief Communication; Carrier State - drug therapy; Carrier State - prevention & control; Conservative Orthopedics; Drug Resistance, Bacterial; Humans; Infection Control - methods; Medicine; Medicine & Public Health; Mupirocin - administration & dosage; Ointments; Operating Room Nursing; Orthopedics; Patient Care Team; Physicians; Retrospective Studies; Rheumatology; Risk Factors; Sports Medicine; Staphylococcal Skin Infections - drug therapy; Staphylococcus aureus - drug effects; Staphylococcus aureus - isolation & purification; Surgical Orthopedics; Surgical Wound Infection - epidemiology; Surgical Wound Infection - prevention & control; Traumatic Surgery
• ISSN: 1590-9921; 1590-9999
• DOI: 10.1007/s10195-010-0081-3

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.