Methicillin-resistant staphylococcal infections: an important consideration for orthopedic surgeons.

摘要: Postoperative infections in joint prostheses and fracture-fixation devices commonly involve both MRSA methicillin resistant coagulase-negative staphylococcus. In addition, community-acquired has also become an important consideration when infected patients are admitted to the hospital from community. Preoperative colonization with staphylococcus increases risk of postoperative surgical site orthopedic patients. Up 5.3% colonized these organisms on admission. Screening decolonization staphylococci decrease incidence patient. This may be particularly implants given difficulty encountered treating prosthesis. Current US guidelines advocate screening for only factors present. Growing evidence suggests that decolinization all having elective procedures, especially those including prosthetic implants, will infections. The prosthesis potentially salvaged if clinical manifestations infection have been present < or = 10 days, implant is stable, etiologic susceptible oral antibiotics.