Preoperative risk factors for postoperative Staphylococcus aureus nosocomial infections.

Sandy H Fang, Dionne Skeete, Joseph J. Cullen

Research output: Contribution to journalArticle

Abstract

Of the 40 million patients who undergo surgery each year in the United States, 20% may develop a postoperative nosocomial infection. Staphylococcus aureus (S. aureus) is the most common organism involved, and carriage of S. aureus in the anterior nares has been identified as a risk factor for these infections. Topical mupirocin applied to the anterior nares has been successful in eliminating S. aureus and decreasing nosocomial infections due to S. aureus. Concurrent use of preoperative chlorhexidine showers may further reduce the incidence of S. aureus surgical site infections (SSIs). In addition to treating the patient, active surveillance programs to eliminate nasal colonization in hospital surgical personnel have controlled outbreaks of S. aureus SSIs. Recently, a large study identified risk factors linked to S. aureus nasal colonization, which included obesity, male gender, and a history of a cerebrovascular accident. Protective factors included older age, current smoking, and alcohol use. Thus, by modulating these variables, investigators may create interventions aimed at reducing S. aureus nasal carriage and ultimately, postoperative nosocomial infections.

Original languageEnglish (US)
Pages (from-to)35-38
Number of pages4
JournalSurgical technology international
Volume13
StatePublished - 2004
Externally publishedYes

Fingerprint

Cross Infection
Staphylococcus aureus
Nose
Surgical Wound Infection
Mupirocin
Hospital Personnel
Chlorhexidine
Disease Outbreaks
Obesity
Smoking
Stroke
Alcohols
Research Personnel
Incidence
Infection

Cite this

Preoperative risk factors for postoperative Staphylococcus aureus nosocomial infections. / Fang, Sandy H; Skeete, Dionne; Cullen, Joseph J.

In: Surgical technology international, Vol. 13, 2004, p. 35-38.

Research output: Contribution to journalArticle

@article{72163d01e0a841bc8a99b1740eba2769,
title = "Preoperative risk factors for postoperative Staphylococcus aureus nosocomial infections.",
abstract = "Of the 40 million patients who undergo surgery each year in the United States, 20{\%} may develop a postoperative nosocomial infection. Staphylococcus aureus (S. aureus) is the most common organism involved, and carriage of S. aureus in the anterior nares has been identified as a risk factor for these infections. Topical mupirocin applied to the anterior nares has been successful in eliminating S. aureus and decreasing nosocomial infections due to S. aureus. Concurrent use of preoperative chlorhexidine showers may further reduce the incidence of S. aureus surgical site infections (SSIs). In addition to treating the patient, active surveillance programs to eliminate nasal colonization in hospital surgical personnel have controlled outbreaks of S. aureus SSIs. Recently, a large study identified risk factors linked to S. aureus nasal colonization, which included obesity, male gender, and a history of a cerebrovascular accident. Protective factors included older age, current smoking, and alcohol use. Thus, by modulating these variables, investigators may create interventions aimed at reducing S. aureus nasal carriage and ultimately, postoperative nosocomial infections.",
author = "Fang, {Sandy H} and Dionne Skeete and Cullen, {Joseph J.}",
year = "2004",
language = "English (US)",
volume = "13",
pages = "35--38",
journal = "Surgical technology international",
issn = "1090-3941",
publisher = "Universal Medical Press",

}

TY - JOUR

T1 - Preoperative risk factors for postoperative Staphylococcus aureus nosocomial infections.

AU - Fang, Sandy H

AU - Skeete, Dionne

AU - Cullen, Joseph J.

PY - 2004

Y1 - 2004

N2 - Of the 40 million patients who undergo surgery each year in the United States, 20% may develop a postoperative nosocomial infection. Staphylococcus aureus (S. aureus) is the most common organism involved, and carriage of S. aureus in the anterior nares has been identified as a risk factor for these infections. Topical mupirocin applied to the anterior nares has been successful in eliminating S. aureus and decreasing nosocomial infections due to S. aureus. Concurrent use of preoperative chlorhexidine showers may further reduce the incidence of S. aureus surgical site infections (SSIs). In addition to treating the patient, active surveillance programs to eliminate nasal colonization in hospital surgical personnel have controlled outbreaks of S. aureus SSIs. Recently, a large study identified risk factors linked to S. aureus nasal colonization, which included obesity, male gender, and a history of a cerebrovascular accident. Protective factors included older age, current smoking, and alcohol use. Thus, by modulating these variables, investigators may create interventions aimed at reducing S. aureus nasal carriage and ultimately, postoperative nosocomial infections.

AB - Of the 40 million patients who undergo surgery each year in the United States, 20% may develop a postoperative nosocomial infection. Staphylococcus aureus (S. aureus) is the most common organism involved, and carriage of S. aureus in the anterior nares has been identified as a risk factor for these infections. Topical mupirocin applied to the anterior nares has been successful in eliminating S. aureus and decreasing nosocomial infections due to S. aureus. Concurrent use of preoperative chlorhexidine showers may further reduce the incidence of S. aureus surgical site infections (SSIs). In addition to treating the patient, active surveillance programs to eliminate nasal colonization in hospital surgical personnel have controlled outbreaks of S. aureus SSIs. Recently, a large study identified risk factors linked to S. aureus nasal colonization, which included obesity, male gender, and a history of a cerebrovascular accident. Protective factors included older age, current smoking, and alcohol use. Thus, by modulating these variables, investigators may create interventions aimed at reducing S. aureus nasal carriage and ultimately, postoperative nosocomial infections.

UR - http://www.scopus.com/inward/record.url?scp=21844473773&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=21844473773&partnerID=8YFLogxK

M3 - Article

C2 - 15744674

AN - SCOPUS:21844473773

VL - 13

SP - 35

EP - 38

JO - Surgical technology international

JF - Surgical technology international

SN - 1090-3941

ER -