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Current Practice in Staphylococcus aureus Screening and Decolonization

Published online by Cambridge University Press:  02 January 2015

Daniel Diekema ,
Birgir Johannsson ,
Loreen Herwaldt ,
Susan Beekmann ,
John Jernigan ,
Alexander Kallen ,
Sandra Berrios-Torres  and
Philip Polgreen
Daniel Diekema*
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa
Birgir Johannsson
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa
Loreen Herwaldt
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa
Susan Beekmann
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa
John Jernigan
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia
Alexander Kallen
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia
Sandra Berrios-Torres
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia
Philip Polgreen
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa College of Public Health, University of Iowa, Iowa City, Iowa
*
SW 54 General Hospital, Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242 ([email protected])
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Abstract

We surveyed infectious disease physicians to determine their preoperative Staphylococcus aureus screening and decolonization practices. Sixty percent reported preoperative screening for S. aureus. However, specific screening and decolonization practices are highly variable, are focused almost exclusively on methicillin-resistant S. aureus, and do not include testing for mupirocin or chlorhexidine resistance.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 32 , Issue 10 , October 2011 , pp. 1042 - 1044
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1. Kirkland, KB, Briggs, JP, Trivette, SL, et al. The impact of SSI in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol 1999;20:725–730.CrossRefGoogle ScholarPubMed
2. Anderson, DJ, Kaye, KS, Classen, D, et al. Strategies to prevent surgical site infections in acute care hospitals. Infect Control Hosp Epidemiol 2008;29(suppl):S51–S61.Google Scholar
3. Hidron, AJ, Edwards, JR, Patel, J, et al. Antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. Infect Control Hosp Epidemiol 2008;29:996–1011.Google Scholar
4. Van Rijen, M, Bonten, M, Wenzel, R, Kluytmans, J. Intranasal mupirocin for reduction of Staphylococcus aureus infections in surgical patients with nasal carriage: a systematic review. J Antimicrobial Chemother 2008;61:254–261.Google Scholar
5. Bode, LGM, Kluytmans, JAJW, Wertheim, HFL, et al. Preventing surgical-site infections in nasal carriers of Staphylococcus aureus . N Engl J Med 2010;362:9–17.Google Scholar
6. Andrews, JI, Fleener, DK, Messer, SA, Kroeger, JS, Diekema, DJ. Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies. Am J Obstet Gynecol 2009;201:396.e1–e5.Google Scholar
7. Boyce, JM, Havel, NL, Maria, B. Frequency and possible infection control implications of gastrointestinal colonization with methicillin-resistant Staphylococcus aureus . J Clin Microbiol 2005;43:5992–5995.Google Scholar
8. Mertz, D, Frei, R, Periat, N, et al. Exclusive S. aureus throat carriage: at risk populations. Arch Intern Med 2009;169:172.Google Scholar
9. Deshpande, LM, Fix, AM, Pfaller, MA, Jones, RN. Emerging elevated mupirocin resistance rates among staphylococcal isolates in the SENTRY Antimicrobial Surveillance Program (2000): correlations of results from disk diffusion, Etest and reference dilution methods. Diagn Microbiol Infect Dis 2002;42:283–290.Google Scholar
10. Batra, R, Cooper, BS, Whiteley, C, Patel, AK, Wyncoll, D, Edgeworth, JD. Efficacy and limitation of a chlorhexidine-based decolonization strategy in preventing transmission of methicillin-resistant Staphylococcus aureus in an intensive care unit. Clin Infect Dis 2010;50:210–217.Google Scholar