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心脏和骨科手术前的金黄色葡萄球菌鼻腔去定植:法国的首次描述性调查。

Staphylococcus aureus nasal decolonization before cardiac and orthopaedic surgeries: first descriptive survey in France.

机构信息

Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France.

Infection Control Unit UHLIN, Bichat Hospital, AP-HP Paris, Paris, France.

出版信息

J Hosp Infect. 2020 Oct;106(2):332-334. doi: 10.1016/j.jhin.2020.08.008. Epub 2020 Aug 15.

Abstract

The objective was to describe French hospital nasal screening and decolonization procedures before clean surgery procedures. Information for participants was sent to the French Society for Infection Control members in June 2018. Seventy hospitals participated in the survey; 40% (N = 28) declared having institutional decolonization procedures: 64% (N = 18) in orthopaedic and 56% (N = 15) in cardiac surgeries. All hospitals used mupirocin for nasal decolonization and body decolonization with chlorhexidine (N = 16) or povidone iodine (N = 10). This study is the first to be performed in France giving information in this field. Screening/decolonization procedures are heterogeneous and the evaluation of their clinical impact remains complex.

摘要

目的在于描述法国医院在清洁手术前进行鼻腔筛查和去定植的程序。2018 年 6 月,向法国感染控制学会成员发送了参与者信息。70 家医院参与了调查;40%(N=28)的医院报告了机构去定植程序:64%(N=18)的骨科手术和 56%(N=15)的心脏手术。所有医院均使用莫匹罗星进行鼻腔去定植和氯己定(N=16)或聚维酮碘(N=10)进行身体去定植。这是法国首次进行该领域的信息研究。筛查/去定植程序存在异质性,其临床影响的评估仍然复杂。

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