Importance of screening for detection of methicillin-resistant staphylococcus for decrease infection in orthopedic surgery:

2018 
Introduction:Methicillin-resistant Staphylococcus aureus (MRSA) can lead to considerable morbidity and mortality in orthopedic patients. The complication rate and cost of periprosthetic joint infection with MRSA is considerably higher compared to MSSA. Patients receiving orthopedic implants are most vulnerable, given the potential for biofilm formation and long-term morbility. Yet, worryingly, the incidence of MRSA in orthopedic departments has increased.Nasal colonization is a risk factor, and is 15-30% of the population for methicillin-susceptible strains (MSSA) and 1-3% for methicillin-resistant (MRSA). If combined with inguinal, 82% diagnostic sensitivity is achieved.Measures taken to prevent MRSA infection include screening to detect colonization, treatment of colonization and prophylactic antibiotic stewardship.Objectives:-Determine colonization index by Staphylococcus aureus (S. aureus) in the population of patients previous to an orthopedic procedures with implants in our institution.-Evaluate ris...
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