择期骨科手术术前检测出耐甲氧西林金黄色葡萄球菌（MRSA）后的手术部位感染风险
Surgical site infection risk following pre-operative MRSA detection in elective orthopaedic surgery.
作者信息
Akhtar Ahsan, Kadir Haji, Chandran Prakash
机构信息
Department of Trauma & Orthopaedics, Warrington & Halton Hospitals NHS Foundation Trust, Warrington WA5 1QG, UK.
出版信息
J Orthop. 2014 Jul 26;11(3):117-20. doi: 10.1016/j.jor.2014.07.001. eCollection 2014 Sep.
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.
摘要
目的
本研究的目的是确定接受择期骨科手术且感染耐甲氧西林金黄色葡萄球菌（MRSA）的患者术后手术部位感染（SSI）的风险。
方法
对2008年1月至2012年12月期间因择期骨科手术入院的所有患者进行MRSA筛查。确定MRSA阳性患者并给予局部抑制治疗。
结果
对11567例患者进行了MRSA筛查。99例（0.9%）感染，88例（88.9%）接受手术。3例患者（3.4%）发生术后浅表SSI。2例为全膝关节置换术（TKR）患者。
结论
我们得出结论，如果患者术前感染MRSA，应告知其SSI风险增加。
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