TY - JOUR A2 - Leeb, Burkhard AU - Hadley, Scott AU - Immerman, Igor AU - Hutzler, Lorraine AU - Slover, James AU - Bosco, Joseph PY - 2010 DA - 2010/12/20 TI - Staphylococcus aureus Decolonization Protocol Decreases Surgical Site Infections for Total Joint Replacement SP - 924518 VL - 2010 AB - We investigated the effects of implementation of an institution-wide screening and decolonization protocol on the rates of deep surgical site infections (SSIs) in patients undergoing primary knee and hip arthroplasties. 2058 patients were enrolled in this study: 1644 patients in the treatment group and 414 in the control group. The treatment group attended preoperative admission testing (PAT) clinic where they were screened for MSSA and MRSA colonization. All patients were provided a 5-day course of nasal mupirocin and a single preoperative chlorhexidine shower. Additionally, patients colonized with MRSA received Vancomycin perioperative prophylaxis. The control group did not attend PAT nor receive mupirocin treatment and received either Ancef or Clindamycin for perioperative antibiotic prophylaxis. There were a total of 6 deep infections in the control group (1.45%) and 21 in the treatment group (1.28%); this represented a decrease of 13% (P=.809) in the treatment versus control group. This decrease represented a positive trend in favor of staphylococcus screening, decolonization with mupirocin, and perioperative Vancomycin for known MRSA carriers. SN - 2090-1984 UR - https://doi.org/10.1155/2010/924518 DO - 10.1155/2010/924518 JF - Arthritis PB - Hindawi Publishing Corporation KW - ER -