Staphylococcus aureus nasal decolonization before cardiac and orthopaedic surgeries: first descriptive survey in France

J Hosp Infect. 2020 Oct;106(2):332-334. doi: 10.1016/j.jhin.2020.08.008. Epub 2020 Aug 15.

Abstract

The objective was to describe French hospital nasal screening and decolonization procedures before clean surgery procedures. Information for participants was sent to the French Society for Infection Control members in June 2018. Seventy hospitals participated in the survey; 40% (N = 28) declared having institutional decolonization procedures: 64% (N = 18) in orthopaedic and 56% (N = 15) in cardiac surgeries. All hospitals used mupirocin for nasal decolonization and body decolonization with chlorhexidine (N = 16) or povidone iodine (N = 10). This study is the first to be performed in France giving information in this field. Screening/decolonization procedures are heterogeneous and the evaluation of their clinical impact remains complex.

Keywords: Cardiac and orthopaedic surgeries; Nasal screening and decolonization; Staphylococcus aureus nasal carriage; Surgical site infections.

MeSH terms

  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Infective Agents, Local / administration & dosage*
  • Carrier State / microbiology*
  • Chlorhexidine / administration & dosage
  • Decontamination / methods*
  • France
  • Humans
  • Infection Control / methods
  • Mupirocin / administration & dosage
  • Nose / microbiology*
  • Orthopedic Procedures / adverse effects
  • Povidone-Iodine / administration & dosage
  • Qualitative Research
  • Staphylococcal Infections / prevention & control*
  • Staphylococcus aureus
  • Surgical Wound Infection / prevention & control*
  • Surveys and Questionnaires
  • Thoracic Surgical Procedures / adverse effects

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents, Local
  • Povidone-Iodine
  • Mupirocin
  • Chlorhexidine