Portigliatti Barbos M, Mognetti Barbara, Pecoraro S, Picco W, Veglio V
Department of Clinical and Biological Sciences, University of Turin, Orbassano, To, Italy.
J Orthop Traumatol. 2010 Mar;11(1):47-9. doi: 10.1007/s10195-010-0081-3. Epub 2010 Jan 30.
Orthopedic surgical-site infection (SSI), mostly due to S. aureus, is recognized as a major adverse event. This research aims to verify the usefulness of surgical team decolonization in order to reduce the risk of surgical-site infection.
We performed swabs of both nares and oropharynx to identify S. aureus carriers among orthopedic team members who consented to cooperate with the study. Carriers were treated with local application of mupirocin ointment.
Retrospective study of 1,000 consecutive patients operated before surgical team decolonization showed 6 per thousand SSIs. Of the 300 cases considered after decolonization, none developed SSI.
Though we are aware that more data need to be collected, this work might be relevant for the introduction of a new preventive protocol.
骨科手术部位感染（SSI）主要由金黄色葡萄球菌引起，被认为是一种主要的不良事件。本研究旨在验证手术团队去定植以降低手术部位感染风险的有效性。
我们对同意参与研究的骨科团队成员的双侧鼻腔和口咽进行拭子采样，以识别金黄色葡萄球菌携带者。携带者接受局部应用莫匹罗星软膏治疗。
对手术团队去定植前连续1000例手术患者的回顾性研究显示，每千例中有6例发生手术部位感染。在去定植后考虑的300例病例中，无一例发生手术部位感染。
尽管我们意识到需要收集更多数据，但这项工作可能与引入新的预防方案相关。
