2013
DOI: 10.1007/s11999-013-2856-3
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Staphylococcus aureus Colonization among Arthroplasty Patients Previously Treated by a Decolonization Protocol: A Pilot Study

Abstract: Background Although testing and treatment for Staphylococcus aureus colonization before total joint arthroplasty (TJA) are well described and understood, the durability of decolonization has not been studied extensively. Questions/purposes The purpose of this pilot study is to determine the percentage of arthroplasty patients with S. aureus colonization despite previous decolonization at the time of TJA. Methods Over a 2-year period, all patients having TJA by one surgeon were screened and treated for nasal S.… Show more

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Cited by 23 publications
(12 citation statements)
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“…It should be noted that we did not test how long animals stayed clear of S. aureus following mupirocin treatment, though we did observe that all 6 animals generally stayed clear of S. aureus at all sites for at least 4 weeks. Decolonization of humans with mupirocin nasal ointment is considered beneficial for preventing postoperative infection (27,44), but S. aureus carriage is recurrent in many subjects (45). More studies that investigate the impact of mupirocin treatment on microbial community dynamics as well as new agents to be used for S. aureus decolonization are needed, and the pig-tailed macaque might be useful in this regard.…”
Section: Discussionmentioning
confidence: 99%
“…It should be noted that we did not test how long animals stayed clear of S. aureus following mupirocin treatment, though we did observe that all 6 animals generally stayed clear of S. aureus at all sites for at least 4 weeks. Decolonization of humans with mupirocin nasal ointment is considered beneficial for preventing postoperative infection (27,44), but S. aureus carriage is recurrent in many subjects (45). More studies that investigate the impact of mupirocin treatment on microbial community dynamics as well as new agents to be used for S. aureus decolonization are needed, and the pig-tailed macaque might be useful in this regard.…”
Section: Discussionmentioning
confidence: 99%
“…Empirical use of mupirocin ointment without screening is shown to be a simple, safe, cost-effective [11] and associated with a decreased incidence of SSI [12, 13]. On the other hand, there are concerns regarding the development of resistance to mupirocin in the setting of routine use [14]. …”
Section: Before the Day Of Surgerymentioning
confidence: 99%
“…59 According to a prospective study, 33% of preoperatively decolonized patients were recolonized with S. aureus 15 months after TJA. 60 However, there is no evidence that colonization with S. aureus after TJA is a risk factor for late PJI, and therefore no treatment is advised for S. aureus carriers after TJA (►Table 1).…”
Section: Staphylococcus Aureus Screening and Decolonizationmentioning
confidence: 99%