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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 54 - 54
1 Dec 2017
DOES STAPHYLOCOCCUS NASAL DECONTAMINATION AFFECT THE RATE OF EARLY SURGICAL SITE INFECTIONS IN ADOLESCENT IDIOPATHIC SCOLIOSIS SURGERY?
Cindy M Caseris M Doit C Maesani M Mazda K Bonacorsi S Ilharreborde B
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Aim

Nasal colonization with S.aureus (SA) is a risk factor for developing nosocomial infections in cardiac surgery. However, the risk in orthopedic surgery remains unclear, especially in adolescent idiopathic scoliosis (AIS) surgery were data are missing. This study aims to evaluate the efficacy of a preoperative nasal decontamination program in SA healthy carriers on early surgical site infections (SSI) after AIS posterior surgery in a pediatric universitary Parisian hospital.

Method

Between 01-01-2014 and 03-31-2017, all AIS patients were screened preoperatively with nasal swabs and decontaminated with mupirocine if positive during the 5 days before surgery. Early SSI were prospectively identified and microorganisms' findings were compared to a previous serie published before the beginning of the decontamination program (2007–2011).