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Preoperative screening for nasal carriage of methicillin-resistant Staphylococcus aureus in patients undergoing general thoracic surgery
Objectives: Nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) is a risk factor for surgical site infections (SSIs). However, few studies have evaluated the rate of nasal carriage of MRSA and its effect on SSIs in patients undergoing general thoracic surgery. We investigated the im...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Association of Rural Medicine
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545418/ https://www.ncbi.nlm.nih.gov/pubmed/31191769 http://dx.doi.org/10.2185/jrm.2987 |
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author | Mizuno, Yoshimasa Shirahashi, Koyo Yamamoto, Hirotaka Matsumoto, Mitsuyoshi Miyamoto, Yusaku Komuro, Hiroyasu Doi, Kiyoshi Iwata, Hisashi |
author_facet | Mizuno, Yoshimasa Shirahashi, Koyo Yamamoto, Hirotaka Matsumoto, Mitsuyoshi Miyamoto, Yusaku Komuro, Hiroyasu Doi, Kiyoshi Iwata, Hisashi |
author_sort | Mizuno, Yoshimasa |
collection | PubMed |
description | Objectives: Nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) is a risk factor for surgical site infections (SSIs). However, few studies have evaluated the rate of nasal carriage of MRSA and its effect on SSIs in patients undergoing general thoracic surgery. We investigated the importance of preoperative screening for nasal carriage of MRSA in patients undergoing general thoracic surgery. Patients and Methods: We retrospectively analyzed 238 patients with thoracic diseases who underwent thoracic surgery. We reviewed the rates of nasal carriage of MRSA and SSIs. Results: Results of MRSA screening were positive in 11 of 238 patients (4.6%), and 9 of these 11 patients received nasal mupirocin. SSIs occurred in 4 patients (1.8%). All 4 patients developed pneumonia; however, MRSA pneumonia occurred in only 1 of these 4 patients. No patient developed wound infection, empyema, and/or mediastinitis. SSIs did not occur in any of the 11 patients with positive results on MRSA screening. Conclusions: The rates of nasal carriage of MRSA and SSIs were low in this case series. Surveillance is important to determine the prevalence of MRSA carriage and infection in hospitals, particularly in the intensive care unit. However, routine preoperative screening for nasal carriage of MRSA is not recommended in patients undergoing general thoracic surgery. |
format | Online Article Text |
id | pubmed-6545418 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Japanese Association of Rural Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-65454182019-06-12 Preoperative screening for nasal carriage of methicillin-resistant Staphylococcus aureus in patients undergoing general thoracic surgery Mizuno, Yoshimasa Shirahashi, Koyo Yamamoto, Hirotaka Matsumoto, Mitsuyoshi Miyamoto, Yusaku Komuro, Hiroyasu Doi, Kiyoshi Iwata, Hisashi J Rural Med Original Article Objectives: Nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) is a risk factor for surgical site infections (SSIs). However, few studies have evaluated the rate of nasal carriage of MRSA and its effect on SSIs in patients undergoing general thoracic surgery. We investigated the importance of preoperative screening for nasal carriage of MRSA in patients undergoing general thoracic surgery. Patients and Methods: We retrospectively analyzed 238 patients with thoracic diseases who underwent thoracic surgery. We reviewed the rates of nasal carriage of MRSA and SSIs. Results: Results of MRSA screening were positive in 11 of 238 patients (4.6%), and 9 of these 11 patients received nasal mupirocin. SSIs occurred in 4 patients (1.8%). All 4 patients developed pneumonia; however, MRSA pneumonia occurred in only 1 of these 4 patients. No patient developed wound infection, empyema, and/or mediastinitis. SSIs did not occur in any of the 11 patients with positive results on MRSA screening. Conclusions: The rates of nasal carriage of MRSA and SSIs were low in this case series. Surveillance is important to determine the prevalence of MRSA carriage and infection in hospitals, particularly in the intensive care unit. However, routine preoperative screening for nasal carriage of MRSA is not recommended in patients undergoing general thoracic surgery. The Japanese Association of Rural Medicine 2019-05-30 2019-05 /pmc/articles/PMC6545418/ /pubmed/31191769 http://dx.doi.org/10.2185/jrm.2987 Text en ©2019 The Japanese Association of Rural Medicine This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Mizuno, Yoshimasa Shirahashi, Koyo Yamamoto, Hirotaka Matsumoto, Mitsuyoshi Miyamoto, Yusaku Komuro, Hiroyasu Doi, Kiyoshi Iwata, Hisashi Preoperative screening for nasal carriage of methicillin-resistant Staphylococcus aureus in patients undergoing general thoracic surgery |
title | Preoperative screening for nasal carriage of methicillin-resistant
Staphylococcus aureus in patients undergoing general
thoracic surgery |
title_full | Preoperative screening for nasal carriage of methicillin-resistant
Staphylococcus aureus in patients undergoing general
thoracic surgery |
title_fullStr | Preoperative screening for nasal carriage of methicillin-resistant
Staphylococcus aureus in patients undergoing general
thoracic surgery |
title_full_unstemmed | Preoperative screening for nasal carriage of methicillin-resistant
Staphylococcus aureus in patients undergoing general
thoracic surgery |
title_short | Preoperative screening for nasal carriage of methicillin-resistant
Staphylococcus aureus in patients undergoing general
thoracic surgery |
title_sort | preoperative screening for nasal carriage of methicillin-resistant
staphylococcus aureus in patients undergoing general
thoracic surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545418/ https://www.ncbi.nlm.nih.gov/pubmed/31191769 http://dx.doi.org/10.2185/jrm.2987 |
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