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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >The efficacy of preoperative screening and the treatment of methicillin-resistant Staphylococcus aureus in an otolaryngology surgical practice.
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The efficacy of preoperative screening and the treatment of methicillin-resistant Staphylococcus aureus in an otolaryngology surgical practice.

机译：在耳鼻喉科外科手术中，术前筛查和耐甲氧西林金黄色葡萄球菌的治疗效果。

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摘要

OBJECTIVE: To examine the efficacy of preoperative Staphylococcus aureus screening on postoperative methicillin-resistant S aureus (MRSA) infection rates in otolaryngology. STUDY DESIGN: Chart review. SUBJECTS AND METHODS: Postoperative MRSA infection rates in unscreened patients during a 1-year period were compared with infection rates in patients after preoperative S aureus screening was initiated. Colonized patients were treated with mupirocin and chlorhexidine preoperatively. RESULTS: Records of 420 patients were reviewed. In the 241 patients without screening, nine patients had S aureus infections, and there were two (0.8%) postoperative MRSA surgical-site infections. Of 179 patients after screening was initiated, 24 patients (13.4%) were colonized with S aureus and underwent preoperative treatment. There were no MRSA infections in the postoperative period. CONCLUSION: Early results show the potential benefit of preoperative S aureus screening in MRSA infection rate reduction. Although larger studies are needed, screening and treatment of MRSA colonized patients preoperatively may reduce infectious complications in otolaryngology.
机译：目的：探讨术前金黄色葡萄球菌筛查对耳鼻喉科术后耐甲氧西林金黄色葡萄球菌（MRSA）感染率的疗效。研究设计：图表审查。研究对象和方法：将未筛查患者在1年期间的术后MRSA感染率与开始术前金黄色葡萄球菌筛查的患者的感染率进行比较。定植的患者术前接受莫匹罗星和洗必泰治疗。结果：回顾了420例患者的记录。在241例未经筛查的患者中，有9例患有金黄色葡萄球菌感染，术后有2例（0.8％）MRSA手术部位感染。开始筛查的179例患者中，有24例（13.4％）被金黄色葡萄球菌定植并接受了术前治疗。术后无MRSA感染。结论：早期结果表明术前金黄色葡萄球菌筛查可能降低MRSA感染率。尽管需要更大的研究，但术前筛查和治疗MRSA定植的患者可以减少耳鼻喉科的感染并发症。

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