Literature DB >> 25264404

Surgical site infection risk following pre-operative MRSA detection in elective orthopaedic surgery.

Ahsan Akhtar1, Haji Kadir1, Prakash Chandran1.   

Abstract

AIMS: The aim of this study was to determine the risk of post-operative surgical site infection (SSI) in patients undergoing elective orthopaedic surgery who were colonised with MRSA.
METHODS: All patients admitted for elective orthopaedic surgery from January 2008 to December 2012 were screened for MRSA. MRSA positive patients were identified and given topical suppression therapy.
RESULTS: 11,567 patients were screened for MRSA. Ninety-nine (0.9%) were colonised and eighty-eight (88.9%) proceeded to surgery. Three patients (3.4%) developed post-operative superficial SSIs. Two were in patients who had total knee replacements (TKR).
CONCLUSION: We conclude that patients should be informed of an increased SSI risk if colonised with MRSA pre-operatively.

Entities:  

Keywords:  MRSA; Surgical site infection; elective orthopaedic patients

Year:  2014        PMID: 25264404      PMCID: PMC4174262          DOI: 10.1016/j.jor.2014.07.001

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  9 in total

Review 1.  Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks.

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Journal:  Clin Microbiol Rev       Date:  1997-07       Impact factor: 26.132

2.  Active surveillance screening of MRSA and eradication of the carrier state decreases surgical-site infections caused by MRSA.

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Authors:  Koichi Yano; Yukihide Minoda; Akira Sakawa; Yoshihiro Kuwano; Kyoko Kondo; Wakaba Fukushima; Koichi Tada
Journal:  Acta Orthop       Date:  2009-08       Impact factor: 3.717

5.  Methicillin resistant Staphylococcus aureus (MRSA) is not always caught on the orthopaedic ward.

Authors:  Gayle Walley; Jeorge Orendi; Stephen Bridgman; Ben Davis; El-Nasri Ahmed; Nicola Maffulli
Journal:  Acta Orthop Belg       Date:  2009-04       Impact factor: 0.500

6.  Biofilm dispersal of community-associated methicillin-resistant Staphylococcus aureus on orthopedic implant material.

Authors:  Katherine J Lauderdale; Cheryl L Malone; Blaise R Boles; Jose Morcuende; Alexander R Horswill
Journal:  J Orthop Res       Date:  2010-01       Impact factor: 3.494

7.  Direct detection of Staphylococcus aureus from adult and neonate nasal swab specimens using real-time polymerase chain reaction.

Authors:  Suzanne M Paule; Anna C Pasquariello; Donna M Hacek; Adrienne G Fisher; Richard B Thomson; Karen L Kaul; Lance R Peterson
Journal:  J Mol Diagn       Date:  2004-08       Impact factor: 5.568

8.  Rapid screening for carriage of methicillin-resistant Staphylococcus aureus by PCR and associated costs.

Authors:  Manuela Bühlmann; Katja Bögli-Stuber; Sara Droz; Kathrin Mühlemann
Journal:  J Clin Microbiol       Date:  2008-04-30       Impact factor: 5.948

Review 9.  Methicillin-resistant Staphylococcus aureus (MRSA): colonisation and pre-operative screening.

Authors:  N Goyal; A Miller; M Tripathi; J Parvizi
Journal:  Bone Joint J       Date:  2013-01       Impact factor: 5.082

  9 in total
  4 in total

Review 1.  [Prevention of postoperative infections : Risk factors and the current WHO guidelines in musculoskeletal surgery].

Authors:  Christian Willy; Hayo Rieger; Marcus Stichling
Journal:  Unfallchirurg       Date:  2017-06       Impact factor: 1.000

2.  Effectiveness of preoperative decolonization with nasal povidone iodine in Chinese patients undergoing elective orthopedic surgery: a prospective cross-sectional study.

Authors:  H-M Peng; L-C Wang; J-L Zhai; X-S Weng; B Feng; W Wang
Journal:  Braz J Med Biol Res       Date:  2017-12-18       Impact factor: 2.590

3.  Methicillin-resistant Staphylococcus aureus nasal colonization in people living with HIV and healthy people in Kathmandu, Nepal.

Authors:  Samjhana Kapali; Anil Pokhrel; Anup Bastola; Reshma Tuladhar; Dev Raj Joshi
Journal:  Future Sci OA       Date:  2021-11-26

4.  Analysis of incidence of postoperative wound infection in closed fractures treated by surgical fixation - A prospective study.

Authors:  Niranj Ganeshan Radhamony; Radhu Raj; Sivakumar Raju
Journal:  Ann Med Surg (Lond)       Date:  2021-11-09
  4 in total

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