Nosocomial methicillin-resistant Staphylococcus aureus (MRSA) and epidermidis (MRSE) infections in orthopaedic surgery. Importance, prophylaxis and therapy

1999 ◽  
Vol 102 (4) ◽  
pp. 324-328 ◽  
Author(s):  
D. P. König ◽  
O. Randerath ◽  
M. H. Hackenbroch
Keyword(s):  
Staphylococcus Aureus ◽  
Orthopaedic Surgery ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistant

scholarly journals MRSA – ‘Bug-Bear’ of a Surgical Practice: Reducing the Incidence of MRSA Surgical Site Infections

2006 ◽  
Vol 88 (2) ◽  
pp. 222-223 ◽  
Author(s):  
Andrea Guyot ◽  
Graham Layer
Keyword(s):  
Staphylococcus Aureus ◽  
Surgical Site Infection ◽  
Orthopaedic Surgery ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Surgical Site Infections ◽  
Site Infection ◽  
Infection Rates ◽  
Methicillin Resistant ◽  
Surgical Practice ◽  
Department Of Health

Adverse publicity (the ‘superbug') has demonstrated that the problem of MRSA (methicillin-resistant Staphylococcus aureus) is prevalent in many of the country's most prestigious hospitals. The results of the mandatory UK Department of Health (DH) surveillance for early surgical site infections in orthopaedic surgery (SSIS) have been published recently for the period April 2004 to March 2005 when 41,242 operations were studied (< http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsStatistic > 28 October 2005). Infection rates were generally and gratifyingly low but 48% of surgical site infections were caused by Staph. aureus and of those 68% were MRSA. The following article will discuss the aetiology and prevention of MRSA surgical site infection.

scholarly journals Strategy to control methicillin-resistant Staphylococcus aureus post-operative infection in orthopaedic surgery

2004 ◽  
Vol 28 (1) ◽  
pp. 16-20 ◽  
Author(s):  
J. C. De Lucas-Villarrubia ◽  
M. Lopez-Franco ◽  
J. J. Granizo ◽  
J. C. De Lucas-Garcia ◽  
E. Gomez-Barrena
Keyword(s):  
Staphylococcus Aureus ◽  
Orthopaedic Surgery ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistant

scholarly journals Methicillin-resistant Staphylococcus aureus in orthopaedic surgery

2004 ◽  
Vol 28 (1) ◽  
pp. 32-35 ◽  
Author(s):  
A. A. Nirvani ◽  
A. Holmes ◽  
S. P. F. Hughes ◽  
C. C. Tai
Keyword(s):  
Staphylococcus Aureus ◽  
Orthopaedic Surgery ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Methicillin Resistant

scholarly journals RESISTENSI TERHADAP METHICILLIN (METHICILLIN RESISTANT) STAPHYLOCOCCUS AUREUS DI INSTALASI RAWAT INAP

2018 ◽  
Vol 17 (1) ◽  
pp. 5
Author(s):  
Wildana . ◽  
Nurhayana Sennang ◽  
Benny Rusli
Keyword(s):  
Staphylococcus Aureus ◽  
Medical Records ◽  
Orthopaedic Surgery ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Nosocomial Pathogen ◽  
Antimicrobial Susceptibility Test ◽  
Methicillin Resistant ◽  
Post Surgery ◽  
Mrsa Infection ◽  
Clinical Conditions

Methicillin Resistant Staphylococcus aureus (MRSA) is a major nosocomial pathogen worldwide. MRSA infection typically aggravatesthe patient condition. MRSA infection increases morbidity and mortality. The study was aimed to find out the MRSA occurrence inDr. Wahidin Sudirohusodo Hospital Makassar patients during July 2008–June 2009. A retrospective study was performed using datafrom the medical records including the results of culture and antimicrobial susceptibility test in Dr. Wahidin Sudirohusodo HospitalMakassar. Among 1082 results of the culture test, 5.2% were identified as Staphylococcus aureus, consist of 51.8% MSSA (MethicillinSensitive Staphylococcus aureus) and 48.2% MRSA. Most of the MRSA patients were treated in orthopaedic surgery (30%), internal(22%), and paediatric (19%) wards. Based on the clinical conditions, most of the patients were in post surgery care (44.4%), pneumonia(18.5%), and diabetic foot (7.5%). All of the MRSA isolates were multiresistant (resistant to three or more antimicrobials) but 96%remain sensitive to vancomycin. It was concluded that most of MRSA patients were staying in the orthopaedic surgery ward. Based onthis clinical condition, most of the patients were in the post surgery care. All of the MRSA isolates were multiresistant, but most of themremain sensitive to vancomycin.

scholarly journals A Study of Microbial Colonisation of Orthopaedic Tourniquets

2009 ◽  
Vol 91 (2) ◽  
pp. 131-134 ◽  
Author(s):  
SMY Ahmed ◽  
R Ahmad ◽  
R Case ◽  
RF Spencer
Keyword(s):  
Staphylococcus Aureus ◽  
Orthopaedic Surgery ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Cross Infection ◽  
Coagulase Negative Staphylococcus ◽  
Standard Protocol ◽  
Methicillin Resistant ◽  
Pseudomonas Spp ◽  
Staphylococcus Spp

INTRODUCTION Tourniquets are employed widely in orthopaedic surgery. The use of the same tourniquet on a repetitive basis without a standard protocol for cleaning may be a source of cross-infection. This study examines the contamination of the tourniquets in our institution. MATERIALS AND METHODS Agar plates were used to take samples from 20 tourniquets employed in orthopaedic procedures. Four sites on each tourniquet were cultured and incubated at 37°C for 48 h. RESULTS All sampled tourniquets were contaminated with colony counts varying from 9 to > 385. Coagulase-negative Staphylococcus spp. were the most commonly grown organisms from the tourniquets (96%).Some tourniquets had growths of important pathogens including methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas spp., and S. aureus. On cleaning five tourniquets with Clinell (detergent and disinfectant) wipes (GAMA Healthcare Ltd, London, UK), there was a 99.2% reduction in contamination of the tourniquets 5 min after cleaning. CONCLUSIONS In addition to the manufacturers' guidelines, we recommend the cleaning of tourniquets with a disinfectant wipe before every case.

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