Does Staphylococcus aureus nasal decontamination affect the rate of early surgical site infection in adolescent idiopathic scoliosis surgery?
Purpose Surgical site infection (SSI) is a main complication after adolescent idiopathic scoliosis (AIS) surgery. Nasal colonization with S. aureus is a known risk factor for developing nosocomial infections in cardiac surgery. However, the risk in orthopedic surgery remains unclear, especially in s...
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| Veröffentlicht in: | European spine journal 2018-10, Vol.27 (10), p.2543-2549 |
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| creator | Mallet, Cindy Caseris, Marion Doit, Catherine Simon, Anne-Laure Michelet, Daphné Madre, Chrystel Mazda, Keyvan Bonacorsi, Stéphane Ilharreborde, Brice |
| description | Purpose
Surgical site infection (SSI) is a main complication after adolescent idiopathic scoliosis (AIS) surgery. Nasal colonization with
S. aureus
is a known risk factor for developing nosocomial infections in cardiac surgery. However, the risk in orthopedic surgery remains unclear, especially in spine surgery. This study aims to report the efficacy of a preoperative nasal decontamination program in
S. aureus
carriers on the incidence of early SSI after AIS posterior surgery.
Methods
Between January 2014 and July 2017, all AIS patients were screened preoperatively with nasal swabs and decontaminated if positive 5 days before surgery. Early SSI was identified, and microorganisms findings were analyzed within nasal carriage and compared to a previous series published before the decontamination program (2007–2011).
Results
Among the 331 AIS posterior fusion performed during the study period, incidence of positive nasal swab was 23% (
n
= 75). Those were preoperatively decontaminated. In comparison with the period before the nasal decontamination program, incidence of
S. aureus
early SSI significantly decreased from 5.1 to 1.3%,
p
|
| doi_str_mv | 10.1007/s00586-018-5744-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2094418938</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2093012422</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-247449f38787402d408dbdf624d6918a68196a8542b34082d76fd7c28e8443d53</originalsourceid><addsrcrecordid>eNp1kctuFDEQRS1ERIbAB7BBltiwaeJXu90rhBJeUiQWwNry2G7GUY89uNyL-Yj8c6qZABISq5Jc55ar7iXkBWdvOGPDJTDWG90xbrp-UKpTj8iGKyk6NkrxmGzYqFinBz6ek6cAt4zxfmT6CTmXjKte93pD7q5LBPq1ucPuOBdfvF-AuqVGLNmBm2mIvuTm9im7lkqmbpqib7TtIq2uRVomGl2djxSW-iN5VEDC55RXbBUk1IQyR_AxN5pCKgfXdslT8GVOBRL8ksZ6fPuMnE1uhvj8oV6Q7x_ef7v61N18-fj56t1N5-UgWicUXjtO0gxmUEwExUzYhkkLFfTIjdOGj9qZXomtxJ4Ig57C4IWJRikZenlBXp_mHmr5uURodp9wvXl2OZYFrEDnFDejNIi--ge9LUvNuN1KoZFCCYEUP1G-FoAaJ3uoae_q0XJm16zsKSuLWdk1K6tQ8_Jh8rLdx_BH8TscBMQJAGxlNOjv1_-feg_4naAz</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2093012422</pqid></control><display><type>article</type><title>Does Staphylococcus aureus nasal decontamination affect the rate of early surgical site infection in adolescent idiopathic scoliosis surgery?</title><source>SpringerLink Journals - AutoHoldings</source><creator>Mallet, Cindy ; Caseris, Marion ; Doit, Catherine ; Simon, Anne-Laure ; Michelet, Daphné ; Madre, Chrystel ; Mazda, Keyvan ; Bonacorsi, Stéphane ; Ilharreborde, Brice</creator><creatorcontrib>Mallet, Cindy ; Caseris, Marion ; Doit, Catherine ; Simon, Anne-Laure ; Michelet, Daphné ; Madre, Chrystel ; Mazda, Keyvan ; Bonacorsi, Stéphane ; Ilharreborde, Brice</creatorcontrib><description>Purpose
Surgical site infection (SSI) is a main complication after adolescent idiopathic scoliosis (AIS) surgery. Nasal colonization with
S. aureus
is a known risk factor for developing nosocomial infections in cardiac surgery. However, the risk in orthopedic surgery remains unclear, especially in spine surgery. This study aims to report the efficacy of a preoperative nasal decontamination program in
S. aureus
carriers on the incidence of early SSI after AIS posterior surgery.
Methods
Between January 2014 and July 2017, all AIS patients were screened preoperatively with nasal swabs and decontaminated if positive 5 days before surgery. Early SSI was identified, and microorganisms findings were analyzed within nasal carriage and compared to a previous series published before the decontamination program (2007–2011).
Results
Among the 331 AIS posterior fusion performed during the study period, incidence of positive nasal swab was 23% (
n
= 75). Those were preoperatively decontaminated. In comparison with the period before the nasal decontamination program, incidence of
S. aureus
early SSI significantly decreased from 5.1 to 1.3%,
p
< 0.05. None of those
S. aureus
decontaminated patients had an early
S. aureus
SSI. In all cases of
S. aureus
infections,
S. aureus
nasal screening was negative with a mean delay of 315 days (± 115) before surgery, which was significantly different from the global cohort (104 days ± 67,
p
< 0.05).
Conclusions
Preoperative
S. aureus
nasal decontamination was associated with a significant decrease in
S. aureus
SSI. Optimal delay of nasal screening needs to be optimized in order to diagnose intermittent
S. aureus
carriers.
Graphical abstract
These slides can be retrieved under Electronic Supplementary Material.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-018-5744-4</identifier><identifier>PMID: 30145656</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bone surgery ; Colonization ; Decontamination ; Medicine ; Medicine & Public Health ; Neurosurgery ; Nosocomial infection ; Nosocomial infections ; Original Article ; Penicillin ; Scoliosis ; Spine ; Surgical Orthopedics ; Surgical site infections</subject><ispartof>European spine journal, 2018-10, Vol.27 (10), p.2543-2549</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>European Spine Journal is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-247449f38787402d408dbdf624d6918a68196a8542b34082d76fd7c28e8443d53</citedby><cites>FETCH-LOGICAL-c372t-247449f38787402d408dbdf624d6918a68196a8542b34082d76fd7c28e8443d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-018-5744-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-018-5744-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30145656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mallet, Cindy</creatorcontrib><creatorcontrib>Caseris, Marion</creatorcontrib><creatorcontrib>Doit, Catherine</creatorcontrib><creatorcontrib>Simon, Anne-Laure</creatorcontrib><creatorcontrib>Michelet, Daphné</creatorcontrib><creatorcontrib>Madre, Chrystel</creatorcontrib><creatorcontrib>Mazda, Keyvan</creatorcontrib><creatorcontrib>Bonacorsi, Stéphane</creatorcontrib><creatorcontrib>Ilharreborde, Brice</creatorcontrib><title>Does Staphylococcus aureus nasal decontamination affect the rate of early surgical site infection in adolescent idiopathic scoliosis surgery?</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Surgical site infection (SSI) is a main complication after adolescent idiopathic scoliosis (AIS) surgery. Nasal colonization with
S. aureus
is a known risk factor for developing nosocomial infections in cardiac surgery. However, the risk in orthopedic surgery remains unclear, especially in spine surgery. This study aims to report the efficacy of a preoperative nasal decontamination program in
S. aureus
carriers on the incidence of early SSI after AIS posterior surgery.
Methods
Between January 2014 and July 2017, all AIS patients were screened preoperatively with nasal swabs and decontaminated if positive 5 days before surgery. Early SSI was identified, and microorganisms findings were analyzed within nasal carriage and compared to a previous series published before the decontamination program (2007–2011).
Results
Among the 331 AIS posterior fusion performed during the study period, incidence of positive nasal swab was 23% (
n
= 75). Those were preoperatively decontaminated. In comparison with the period before the nasal decontamination program, incidence of
S. aureus
early SSI significantly decreased from 5.1 to 1.3%,
p
< 0.05. None of those
S. aureus
decontaminated patients had an early
S. aureus
SSI. In all cases of
S. aureus
infections,
S. aureus
nasal screening was negative with a mean delay of 315 days (± 115) before surgery, which was significantly different from the global cohort (104 days ± 67,
p
< 0.05).
Conclusions
Preoperative
S. aureus
nasal decontamination was associated with a significant decrease in
S. aureus
SSI. Optimal delay of nasal screening needs to be optimized in order to diagnose intermittent
S. aureus
carriers.
Graphical abstract
These slides can be retrieved under Electronic Supplementary Material.</description><subject>Bone surgery</subject><subject>Colonization</subject><subject>Decontamination</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Nosocomial infection</subject><subject>Nosocomial infections</subject><subject>Original Article</subject><subject>Penicillin</subject><subject>Scoliosis</subject><subject>Spine</subject><subject>Surgical Orthopedics</subject><subject>Surgical site infections</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kctuFDEQRS1ERIbAB7BBltiwaeJXu90rhBJeUiQWwNry2G7GUY89uNyL-Yj8c6qZABISq5Jc55ar7iXkBWdvOGPDJTDWG90xbrp-UKpTj8iGKyk6NkrxmGzYqFinBz6ek6cAt4zxfmT6CTmXjKte93pD7q5LBPq1ucPuOBdfvF-AuqVGLNmBm2mIvuTm9im7lkqmbpqib7TtIq2uRVomGl2djxSW-iN5VEDC55RXbBUk1IQyR_AxN5pCKgfXdslT8GVOBRL8ksZ6fPuMnE1uhvj8oV6Q7x_ef7v61N18-fj56t1N5-UgWicUXjtO0gxmUEwExUzYhkkLFfTIjdOGj9qZXomtxJ4Ig57C4IWJRikZenlBXp_mHmr5uURodp9wvXl2OZYFrEDnFDejNIi--ge9LUvNuN1KoZFCCYEUP1G-FoAaJ3uoae_q0XJm16zsKSuLWdk1K6tQ8_Jh8rLdx_BH8TscBMQJAGxlNOjv1_-feg_4naAz</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Mallet, Cindy</creator><creator>Caseris, Marion</creator><creator>Doit, Catherine</creator><creator>Simon, Anne-Laure</creator><creator>Michelet, Daphné</creator><creator>Madre, Chrystel</creator><creator>Mazda, Keyvan</creator><creator>Bonacorsi, Stéphane</creator><creator>Ilharreborde, Brice</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20181001</creationdate><title>Does Staphylococcus aureus nasal decontamination affect the rate of early surgical site infection in adolescent idiopathic scoliosis surgery?</title><author>Mallet, Cindy ; Caseris, Marion ; Doit, Catherine ; Simon, Anne-Laure ; Michelet, Daphné ; Madre, Chrystel ; Mazda, Keyvan ; Bonacorsi, Stéphane ; Ilharreborde, Brice</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-247449f38787402d408dbdf624d6918a68196a8542b34082d76fd7c28e8443d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Bone surgery</topic><topic>Colonization</topic><topic>Decontamination</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Nosocomial infection</topic><topic>Nosocomial infections</topic><topic>Original Article</topic><topic>Penicillin</topic><topic>Scoliosis</topic><topic>Spine</topic><topic>Surgical Orthopedics</topic><topic>Surgical site infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mallet, Cindy</creatorcontrib><creatorcontrib>Caseris, Marion</creatorcontrib><creatorcontrib>Doit, Catherine</creatorcontrib><creatorcontrib>Simon, Anne-Laure</creatorcontrib><creatorcontrib>Michelet, Daphné</creatorcontrib><creatorcontrib>Madre, Chrystel</creatorcontrib><creatorcontrib>Mazda, Keyvan</creatorcontrib><creatorcontrib>Bonacorsi, Stéphane</creatorcontrib><creatorcontrib>Ilharreborde, Brice</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mallet, Cindy</au><au>Caseris, Marion</au><au>Doit, Catherine</au><au>Simon, Anne-Laure</au><au>Michelet, Daphné</au><au>Madre, Chrystel</au><au>Mazda, Keyvan</au><au>Bonacorsi, Stéphane</au><au>Ilharreborde, Brice</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does Staphylococcus aureus nasal decontamination affect the rate of early surgical site infection in adolescent idiopathic scoliosis surgery?</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>27</volume><issue>10</issue><spage>2543</spage><epage>2549</epage><pages>2543-2549</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
Surgical site infection (SSI) is a main complication after adolescent idiopathic scoliosis (AIS) surgery. Nasal colonization with
S. aureus
is a known risk factor for developing nosocomial infections in cardiac surgery. However, the risk in orthopedic surgery remains unclear, especially in spine surgery. This study aims to report the efficacy of a preoperative nasal decontamination program in
S. aureus
carriers on the incidence of early SSI after AIS posterior surgery.
Methods
Between January 2014 and July 2017, all AIS patients were screened preoperatively with nasal swabs and decontaminated if positive 5 days before surgery. Early SSI was identified, and microorganisms findings were analyzed within nasal carriage and compared to a previous series published before the decontamination program (2007–2011).
Results
Among the 331 AIS posterior fusion performed during the study period, incidence of positive nasal swab was 23% (
n
= 75). Those were preoperatively decontaminated. In comparison with the period before the nasal decontamination program, incidence of
S. aureus
early SSI significantly decreased from 5.1 to 1.3%,
p
< 0.05. None of those
S. aureus
decontaminated patients had an early
S. aureus
SSI. In all cases of
S. aureus
infections,
S. aureus
nasal screening was negative with a mean delay of 315 days (± 115) before surgery, which was significantly different from the global cohort (104 days ± 67,
p
< 0.05).
Conclusions
Preoperative
S. aureus
nasal decontamination was associated with a significant decrease in
S. aureus
SSI. Optimal delay of nasal screening needs to be optimized in order to diagnose intermittent
S. aureus
carriers.
Graphical abstract
These slides can be retrieved under Electronic Supplementary Material.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30145656</pmid><doi>10.1007/s00586-018-5744-4</doi><tpages>7</tpages></addata></record> |
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| ispartof | European spine journal, 2018-10, Vol.27 (10), p.2543-2549 |
| issn | 0940-6719 1432-0932 |
| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Bone surgery Colonization Decontamination Medicine Medicine & Public Health Neurosurgery Nosocomial infection Nosocomial infections Original Article Penicillin Scoliosis Spine Surgical Orthopedics Surgical site infections |
| title | Does Staphylococcus aureus nasal decontamination affect the rate of early surgical site infection in adolescent idiopathic scoliosis surgery? |
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