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Am J Infect Control. 2017 May 1;45(5):554-556. doi: 10.1016/j.ajic.2016.12.021. Epub 2017 Feb 8.

Perioperative participation of orthopedic patients and surgical staff in a nasal decolonization intervention to reduce Staphylococcus spp surgical site infections.

Author information

1
Baylor Orthopedic and Spine Hospital at Arlington, Arlington, TX. Electronic address: amullen@uspi.com.
2
Baylor Orthopedic and Spine Hospital at Arlington, Arlington, TX.
3
Johns Hopkins University School of Public Health, Baltimore, MD.

Abstract

With the goal of reducing rates of surgical site infections in our spine patients, we initiated a trial to investigate the impact of adding perisurgical nasal decolonization involving patients and surgical and nursing staff. We combined immediate presurgical application of a nonantibiotic alcohol-based nasal antiseptic with existing chlorhexidine bath or wipes in a comprehensive pre- and postoperative decolonization protocol. Mean infection rates were significantly decreased by 81% from 1.76 to 0.33 per 100 surgeries during the 15-month trial, when compared with the prior 9-month baseline.

KEYWORDS:

Alcohol-based nasal antiseptic; Anterior nares; Perioperative nasal decolonization; Spine surgery; Staff nasal decolonization

PMID:
28189415
DOI:
10.1016/j.ajic.2016.12.021
[Indexed for MEDLINE]
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