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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...

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Autores principales: Mizuno, Yoshimasa, Shirahashi, Koyo, Yamamoto, Hirotaka, Matsumoto, Mitsuyoshi, Miyamoto, Yusaku, Komuro, Hiroyasu, Doi, Kiyoshi, Iwata, Hisashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Association of Rural Medicine 2019
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.
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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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