Clinical and cost ineffectiveness of preoperative screening for methicillin-resistant Staphylococcus aureus and intranasal mupirocin in preventing methicillin-resistant S aureus infections in cardiothoracic surgery

被引：2
|
作者：
Cunha, Burke A. [1 ,2 ,3 ]
Thekkel, Valsamma [2 ]
Schoch, Paul [4 ]
Cosgrove, Linda [5 ]
机构：
[1] Winthrop Univ Hosp, Div Infect Dis, Mineola, NY 11501 USA
[2] Winthrop Univ Hosp, Infect Control Sect, Mineola, NY 11501 USA
[3] SUNY Stony Brook, Dept Med, Sch Med, Stony Brook, NY 11794 USA
[4] Winthrop Univ Hosp, Microbiol Lab, Mineola, NY 11501 USA
[5] Winthrop Univ Hosp, Dept Cardiothorac Surg, Mineola, NY 11501 USA
来源：
AMERICAN JOURNAL OF INFECTION CONTROL | 2011年 / 39卷 / 03期
关键词：
MRSA colonization; prevention; MRSA wound infections; intransal; cardiothoracic surgery; SURGICAL-PATIENTS; VASCULAR-SURGERY; MRSA;
D O I：
10.1016/j.ajic.2010.07.008
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
In our recent experience with methicillin-resistant Staphylococcus aureus (MRSA) infections in 488 patients undergoing thoracic cardiovascular surgery, we found only 2 MRSA infections (one sternal and one graft site). Both patients received preoperative bacitracin and had a negative nares culture for MRSA before the initiation of bacitracin therapy. We conclude that preoperative MRSA screening cultures and bacitracin prophylaxis are neither clinically efficacious nor cost-effective in predicting or preventing MRSA in patients undergoing thoracic cardiovascular surgery.
引用
收藏
页码：243 / 246
页数：4
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