Is it worth screening elective orthopaedic patients for carriage of Staphylococcus aureus? A part-retrospective case-control study in a Scottish hospital.
Identifieur interne : 001B72 ( PubMed/Checkpoint ); précédent : 001B71; suivant : 001B73Is it worth screening elective orthopaedic patients for carriage of Staphylococcus aureus? A part-retrospective case-control study in a Scottish hospital.
Auteurs : Stephanie J. Dancer [Royaume-Uni] ; Fraser Christison [Royaume-Uni] ; Attaolah Eslami [Royaume-Uni] ; Alberto Gregori [Royaume-Uni] ; Roslyn Miller [Royaume-Uni] ; Kumar Perisamy [Royaume-Uni] ; Chris Robertson [France] ; Nick Graves [Australie]Source :
- BMJ open [ 2044-6055 ] ; 2016.
Abstract
With recent focus on methicillin-resistant Staphylococcus aureus (MRSA) screening, methicillin-susceptible S. aureus (MSSA) has been overlooked. MSSA infections are costly and debilitating in orthopaedic surgery.
DOI: 10.1136/bmjopen-2016-011642
PubMed: 27601492
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Dancer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Christison, Fraser" sort="Christison, Fraser" uniqKey="Christison F" first="Fraser" last="Christison">Fraser Christison</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Eslami, Attaolah" sort="Eslami, Attaolah" uniqKey="Eslami A" first="Attaolah" last="Eslami">Attaolah Eslami</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Gregori, Alberto" sort="Gregori, Alberto" uniqKey="Gregori A" first="Alberto" last="Gregori">Alberto Gregori</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Miller, Roslyn" sort="Miller, Roslyn" uniqKey="Miller R" first="Roslyn" last="Miller">Roslyn Miller</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Perisamy, Kumar" sort="Perisamy, Kumar" uniqKey="Perisamy K" first="Kumar" last="Perisamy">Kumar Perisamy</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Robertson, Chris" sort="Robertson, Chris" uniqKey="Robertson C" first="Chris" last="Robertson">Chris Robertson</name><affiliation wicri:level="3"><nlm:affiliation>Department of Mathematics and Statistics, University of Strathclyde, Glasgow, UK Health Protection Scotland, Glasgow, UK International Prevention Research Institute, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Mathematics and Statistics, University of Strathclyde, Glasgow, UK Health Protection Scotland, Glasgow, UK International Prevention Research Institute, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Graves, Nick" sort="Graves, Nick" uniqKey="Graves N" first="Nick" last="Graves">Nick Graves</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.</nlm:affiliation><country 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elective orthopaedic patients for carriage of Staphylococcus aureus? A part-retrospective case-control study in a Scottish hospital.</title><author><name sortKey="Dancer, Stephanie J" sort="Dancer, Stephanie J" uniqKey="Dancer S" first="Stephanie J" last="Dancer">Stephanie J. Dancer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Christison, Fraser" sort="Christison, Fraser" uniqKey="Christison F" first="Fraser" last="Christison">Fraser Christison</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Eslami, Attaolah" sort="Eslami, Attaolah" uniqKey="Eslami A" first="Attaolah" last="Eslami">Attaolah Eslami</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Gregori, Alberto" sort="Gregori, Alberto" uniqKey="Gregori A" first="Alberto" last="Gregori">Alberto Gregori</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Miller, Roslyn" sort="Miller, Roslyn" uniqKey="Miller R" first="Roslyn" last="Miller">Roslyn Miller</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Perisamy, Kumar" sort="Perisamy, Kumar" uniqKey="Perisamy K" first="Kumar" last="Perisamy">Kumar Perisamy</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Robertson, Chris" sort="Robertson, Chris" uniqKey="Robertson C" first="Chris" last="Robertson">Chris Robertson</name><affiliation wicri:level="3"><nlm:affiliation>Department of Mathematics and Statistics, University of Strathclyde, Glasgow, UK Health Protection Scotland, Glasgow, UK International Prevention Research Institute, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Mathematics and Statistics, University of Strathclyde, Glasgow, UK Health Protection Scotland, Glasgow, UK International Prevention Research Institute, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Graves, Nick" sort="Graves, Nick" uniqKey="Graves N" first="Nick" last="Graves">Nick Graves</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMJ open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">With recent focus on methicillin-resistant Staphylococcus aureus (MRSA) screening, methicillin-susceptible S. aureus (MSSA) has been overlooked. MSSA infections are costly and debilitating in orthopaedic surgery.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27601492</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>07</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2044-6055</ISSN><JournalIssue CitedMedium="Internet"><Volume>6</Volume><Issue>9</Issue><PubDate><Year>2016</Year><Month>Sep</Month><Day>06</Day></PubDate></JournalIssue><Title>BMJ open</Title><ISOAbbreviation>BMJ Open</ISOAbbreviation></Journal><ArticleTitle>Is it worth screening elective orthopaedic patients for carriage of Staphylococcus aureus? A part-retrospective case-control study in a Scottish hospital.</ArticleTitle><Pagination><MedlinePgn>e011642</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjopen-2016-011642</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">With recent focus on methicillin-resistant Staphylococcus aureus (MRSA) screening, methicillin-susceptible S. aureus (MSSA) has been overlooked. MSSA infections are costly and debilitating in orthopaedic surgery.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We broadened MRSA screening to include MSSA for elective orthopaedic patients. Preoperative decolonisation was offered if appropriate. Elective and trauma patients were audited for staphylococcal infection during 2 6-month periods (A: January to June 2013 MRSA screening; B: January to June 2014 MRSA and MSSA screening). Trauma patients are not screened presurgery and provided a control. MSSA screening costs of a modelled cohort of 500 elective patients were offset by changes in number and costs of MSSA infections to demonstrate the change in total health service costs.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">Trauma patients showed similar infection rates during both periods (p=1). In period A, 4 (1.72%) and 15 (6.47%) of 232 elective patients suffered superficial and deep MSSA infections, respectively, with 6 superficial (2%) and 1 deep (0.3%) infection among 307 elective patients during period B. For any MSSA infection, risk ratios were 0.95 (95% CI 0.41 to 2.23) for trauma and 0.28 (95% CI 0.12 to 0.65) for elective patients (period B vs period A). For deep MSSA infections, risk ratios were 0.58 (95% CI 0.20 to 1.67) for trauma and 0.05 (95% CI 0.01 to 0.36) for elective patients (p=0.011). There were 29.12 fewer deep infections in the modelled cohort of 500 patients, with a cost reduction of £831 678 for 500 patients screened.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MSSA screening for elective orthopaedic patients may reduce the risk of deep postoperative MSSA infection with associated cost-benefits.</AbstractText><CopyrightInformation>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dancer</LastName><ForeName>Stephanie J</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Christison</LastName><ForeName>Fraser</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eslami</LastName><ForeName>Attaolah</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gregori</LastName><ForeName>Alberto</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>Roslyn</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perisamy</LastName><ForeName>Kumar</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Orthopaedics, Hairmyres Hospital, NHS Lanarkshire, Glasgow, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Robertson</LastName><ForeName>Chris</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Mathematics and Statistics, University of Strathclyde, Glasgow, UK Health Protection Scotland, Glasgow, UK International Prevention Research Institute, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Graves</LastName><ForeName>Nick</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Open</MedlineTA><NlmUniqueID>101552874</NlmUniqueID><ISSNLinking>2044-6055</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Clin Infect Dis. 2014 Oct;59(7):969-75</RefSource><PMID 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Epidemiol. 2014 Jun;35(6):605-27</RefSource><PMID Version="1">24799638</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">BACTERIOLOGY</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>9</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>9</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27601492</ArticleId><ArticleId IdType="pii">bmjopen-2016-011642</ArticleId><ArticleId IdType="doi">10.1136/bmjopen-2016-011642</ArticleId><ArticleId 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Dancer</name></noRegion><name sortKey="Christison, Fraser" sort="Christison, Fraser" uniqKey="Christison F" first="Fraser" last="Christison">Fraser Christison</name><name sortKey="Eslami, Attaolah" sort="Eslami, Attaolah" uniqKey="Eslami A" first="Attaolah" last="Eslami">Attaolah Eslami</name><name sortKey="Gregori, Alberto" sort="Gregori, Alberto" uniqKey="Gregori A" first="Alberto" last="Gregori">Alberto Gregori</name><name sortKey="Miller, Roslyn" sort="Miller, Roslyn" uniqKey="Miller R" first="Roslyn" last="Miller">Roslyn Miller</name><name sortKey="Perisamy, Kumar" sort="Perisamy, Kumar" uniqKey="Perisamy K" first="Kumar" last="Perisamy">Kumar Perisamy</name></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Robertson, Chris" sort="Robertson, Chris" uniqKey="Robertson C" first="Chris" last="Robertson">Chris Robertson</name></region></country><country name="Australie"><noRegion><name sortKey="Graves, Nick" sort="Graves, Nick" uniqKey="Graves N" first="Nick" last="Graves">Nick Graves</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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