Walley Gayle, Orendi Jeorge, Bridgman Stephen, Davis Ben, Ahmed El-Nasri, Maffulli Nicola
University Hospital of North Staffordshire NHS Trust, Newcastle Road, Stoke-on-Trent, Staffordshire, England, United Kingdom.
Acta Orthop Belg. 2009 Apr;75(2):245-51.
We report the prevalence and incidence of methicillin-resistant Staphylococcus aureus (MRSA) colonisation during the patient journey for patients admitted to orthopaedic and trauma wards. Patients were swabbed for MRSA colonisation on admission, transfer, and discharge from hospital. Elective patients undergoing major joint surgery were also swabbed at a pre-operative assessment clinic. Of the 559 patients admitted, 323 (101 elective, 192 trauma and 30 non-orthopaedic) were included in the study. Of these, 27 elective (27%), 41 trauma (21%), and seven non-orthopaedic (23%) patients were colonised with MRSA at any time during the audit period. There is a high prevalence of MRSA colonisation in patients admitted to the orthopaedic and trauma wards in our setting. A policy of pre-admission screening, though able to identify MRSA carriage, does not guarantee that patients are not colonised in the period between screening and admission. We suggest to screen for MRSA all patients admitted to an orthopaedic ward.
我们报告了骨科和创伤病房收治患者在整个住院期间耐甲氧西林金黄色葡萄球菌（MRSA）定植的患病率和发病率。患者在入院、转院和出院时均接受MRSA定植拭子检测。接受大关节手术的择期手术患者在术前评估门诊也接受拭子检测。在收治的559例患者中，323例（101例择期手术患者、192例创伤患者和30例非骨科患者）纳入研究。其中，在审核期间的任何时间，27例择期手术患者（27%）、41例创伤患者（21%）和7例非骨科患者（23%）被MRSA定植。在我们医院，骨科和创伤病房收治的患者中MRSA定植的患病率很高。入院前筛查政策虽然能够识别MRSA携带者，但不能保证患者在筛查和入院之间的时间段内未被定植。我们建议对所有入住骨科病房的患者进行MRSA筛查。
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