[Is it possible to detect Staphylococcus aureus colonization or bacteriuria before orthopedic surgery hospitalization?]. / Le dépistage en ambulatoire des patients porteurs de Staphylococcus aureus ou présentant une colonisation urinaire et devant bénéficier d'une chirurgie orthopédique est-il réaliste ?
Pathol Biol (Paris)
; 58(2): 127-30, 2010 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-19892489
ABSTRACT
AIM OF THE STUDY Evaluate the feasibility of Staphylococcus aureus nasal colonization and bacteriuria screening in outpatients before realizing a decolonization treatment in S. aureus carriers and a bacteriuria treatment before hospitalization. METHODS:
All patients undergoing hip, knee or back surgery in which prosthesis were implanted between October 2007 until the end of June 2008 were included. Microbiological studies were performed before hospitalization. Notice for S. aureus decolonization regimen was delivered to each patient and to the general practitioner only if the patient had nasal carriage.RESULTS:
Only 91.2% (240/263) of patients had microbiological results. Prevalence of S. aureus colonization was 21.4% (48 positives/224). Three patients were colonized with methicillin-resistant staphylococci. Decolonization regimen was applied before surgery to 70.8% (n=34) of the colonized patients. Among the patients, 8.9% (20/225) had bacteriuria, Escherichia coli being the most frequent micro-organism (n=16).CONCLUSION:
Preoperative search and management of S. aureus colonization and of bacteriuria in outpatients is possible. Monitoring record must be performed by a member of the hospital staff.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pele
/
Infecções Estafilocócicas
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Staphylococcus aureus
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Bacteriúria
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Cuidados Pré-Operatórios
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Portador Sadio
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Descontaminação
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Artroplastia de Substituição
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Escherichia coli
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Cavidade Nasal
Idioma:
Fr
Ano de publicação:
2010
Tipo de documento:
Article