Current Practice in Staphylococcus aureus Screening and Decolonization

@article{Diekema2011CurrentPI,
  title={Current Practice in Staphylococcus aureus Screening and Decolonization},
  author={Daniel J. Diekema and Birgir Johannsson and Loreen A. Herwaldt and Susan E. Beekmann and John A. Jernigan and Alexander J. Kallen and Sandra I. Berr{\'i}os-Torres and Philip M. Polgreen},
  journal={Infection Control \&\#x0026; Hospital Epidemiology},
  year={2011},
  volume={32},
  pages={1042 - 1044}
}
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. 
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22 Citations
Background Citations
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Results Citations
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22 Citations

Citation Type

Citation Type

Variable Screening and Decolonization Protocols for Staphylococcus aureus Carriage Prior to Surgical Procedures
TLDR
Assessment of presurgical Staphylococcus aureus screening and decolonization practices in Minnesota found that the majority of respondents did not screen for S. a Aureus preoperatively.
Decolonization of Staphylococcus aureus.
Decolonization with Mupirocin and Subsequent Risk of Methicillin-Resistant Staphylococcus aureus Carriage in Veterans Affairs Hospitals
TLDR
Patients decolonized with mupirocin in VA hospitals were less likely to be colonized with MRSA on re-admission as long as 4 months after decolonization.
Prevention of Surgical Site Infections: Decontamination With Mupirocin Based on Preoperative Screening for Staphylococcus aureus Carriers or Universal Decontamination?
  • D. Hetem, M. Bootsma, M. Bonten
  • Medicine, Biology
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2016
TLDR
The current evidence on the occurrence of high-level mupirocin resistance in S. aureus and CoNS, in combination with the results of mathematical modeling, strongly suggests that the increased selection of high -level m upirocin resistant staphylococci in CoNS does not constitute an important risk.
Staphylococcus aureus: A predominant cause of surgical site infections in a rural healthcare setup of Uttarakhand
TLDR
S. aureus played a predominant role in the etiology of SSIs in this hospital with MRSA being a major concern as the treatment options for such resistant strains are limited.
Methicillin-resistant Staphylococcus aureus screening is important for surgeons
TLDR
Outbreak of SSIs occurred due to transmission of MRSA from a surgeon to patients despite the standard regulation of infection control, and these SSIs were associated with an excessive incidence of surgeon's nasal and hand carriage of the MRSA strain identified in the surgeon via cultures.
Screening and decolonization of MRSA among joint arthroplasty patients: efficacy, cost-effectiveness and durability
Reduction of periprosthetic Staphylococcus aureus infection by preoperative screening and decolonization of nasal carriers undergoing total knee arthroplasty
A Clinical History of Methicillin-Resistant Staphylococcus aureus Is a Poor Predictor of Preoperative Colonization Status and Postoperative Infections
TLDR
A history of a MRSA-positive culture and a positive nasal MRSA polymerase chain reaction (PCR) screen are poor surrogate markers of preoperative colonization status, missing at least 70% of MR SA-colonized patients.
Randomized controlled trial of a self-administered five-day antiseptic bundle versus usual disinfectant soap showers for preoperative eradication of Staphylococcus aureus colonization
TLDR
An outpatient preoperative antiseptic decolonization bundle aimed at 4 body sites was significantly more effective in eradicating SA than the usual disinfectant showers (ie, the control).
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