Effectiveness of preoperative decolonization with nasal povidone iodine in Chinese patients undergoing elective orthopedic surgery: a prospective cross-sectional study
Braz. j. med. biol. res; 51 (2), 2018
Publication year: 2018
Staphylococcus aureus colonization in the nares of patients undergoing elective orthopedic surgery increases the potential risk of surgical site infections. Methicillin-resistant S. aureus (MRSA) has gained recognition as a pathogen that is no longer only just a hospital-acquired pathogen. Patients positive for MRSA are associated with higher rates of morbidity and mortality following infection. MRSA is commonly found in the nares, and methicillin-sensitive S. aureus (MSSA) is even more prevalent. Recently, studies have determined that screening for this pathogen prior to surgery and diminishing staphylococcal infections at the surgical site will dramatically reduce surgical site infections. A nasal mupirocin treatment is shown to significantly reduce the colonization of the pathogen. However, this treatment is expensive and is currently not available in China. Thus, in this study, we first sought to determine the prevalence of MSSA/MSRA in patients undergoing elective orthopedic surgery in northern China, and then, we treated the positive patients with a nasal povidone-iodine swab. Here, we demonstrate a successful reduction in the colonization of S. aureus. We propose that this treatment could serve as a cost-effective means of eradicating this pathogen in patients undergoing elective orthopedic surgery, which might reduce the rate of surgical site infections.
Administración Intranasal, Antiinfecciosos Locales/economía, Antiinfecciosos Locales/uso terapéutico, Profilaxis Antibiótica/economía, Profilaxis Antibiótica/métodos, China, Estudios Transversales, Procedimientos Quirúrgicos Electivos/economía, Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos, Staphylococcus aureus Resistente a Meticilina/crecimiento & desarrollo, Cavidad Nasal/efectos de los fármacos, Cavidad Nasal/microbiología, Procedimientos Ortopédicos/economía, Complicaciones Posoperatorias/prevención & control, Povidona Yodada/uso terapéutico, Estudios Prospectivos, Resultado del Tratamiento