Management of Infection for Methicillin Resistant Staphylococcus aureusat an Orthopaedic Surgery Department.
10.4055/jkoa.2003.38.1.34
- Author:
Dong Joon HA
1
;
Young Chang KIM
;
Young Jae KIM
Author Information
1. Department of Orthopaedic Surgery, Inje University College of Medicine, Busan, Korea. oskimyc@ijnc.inje.ac.kr
- Publication Type:Original Article
- Keywords:
MRSA;
Nosocomial infection;
Surgical site infection (SSI)
- MeSH:
Cross Infection;
Electrophoresis;
Humans;
Methicillin Resistance*;
Methicillin*;
Methicillin-Resistant Staphylococcus aureus;
Nasal Cavity;
Staphylococcus*;
Surgical Wound Infection;
Wound Infection
- From:The Journal of the Korean Orthopaedic Association
2003;38(1):34-38
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was undertaken to find two things. One was to reveal the infection route of methicillin resistant Staphylococcus aureus(MRSA) that causes serious nosocomial infection through epidemic study, and the other was to seek preventative methods through blocking the dispersion. MATERIALS AND METHODS: We cultured MRSA obtained by nasal cavity swabbing, from 82 doctors and 219 personnel in our hospital, between September 1997 and August 1999. In addition, swabs were taken from the nasal cavities and surgical sites of 57 orthopaedic surgery patients, who were free of wound infection. In this practice, we use the disc test for drug sensitivity, and pulse-field gel electrophoresis (PFGE) to separate colonies. RESULTS: MRSA was discovered in 8 doctors (10%) and in 13 personnels (6%) by nasal cavity sabbing, and these included 3 orthopaedic surgeons. MRSA was also found in the patients' group, there were 23 (40%) from nasal cavities and 14 ones (25%) from surgical sites. Their PFGE types of MRSA were of A type, which were also identified in two orthopaedic surgeons. SUMMARY: We noticed that nasal cavitiy infection could occur by cross infection between doctors and patients. Surgical wound infection may occur by infection from the nasal cavity. This study underlines the importance of MRSA infection and management.
