Universal staphylococcal decolonization for elective surgeries: The patient perspective - 30/03/19
, Michael P. Stevens, MD, MPH, Gonzalo Bearman, MD, MPHRésumé |
Background |
Staphylococcal decolonization decreases the risk of Staphylococcus aureus surgical site infection. This study evaluates patient perceptions and barriers to a universal Staphylococcal decolonization (USD) protocol.
Methods |
In October 2013, a protocol for the decolonization of Staphylococcal aureus in elective orthopedic, neurosurgical, and cardiac surgeries was implemented in an effort to further decrease post-operative infections rates. We surveyed patients undergoing these procedures between November 2014 and April 2015 using an anonymous, voluntary, Likert-scale survey; survey questions targeted compliance with the protocol as well as barriers to protocol completion.
Results |
A sample of 546 patients (n=1289, 42%) undergoing elective neurosurgical and orthopedic surgeries completed surveys. Respondents had 85% compliance with USD. Insufficient time prior to the procedure to complete the protocol was the largest barrier to USD completion.
Conclusions |
This study provides evidence that USD is acceptable to patients, and that the biggest barriers are logistical.
Le texte complet de cet article est disponible en PDF.Key Words : Staphylococcus aureus, MRSA, Orthopedic surgery, Cardiothoracic surgery, Chlorhexidine
Plan
| Conflicts of interest: None to report. |
Vol 47 - N° 4
P. 391-393 - avril 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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