TY - JOUR
T1 - Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass
AU - Chien, Chen Yen
AU - Lin, Cheng Hsin
AU - Hsu, Ron Bin
PY - 2014
Y1 - 2014
N2 - Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P =.03). Care bundle was more protective against MRSA infection (2.3% vs 0.5%, respectively; P =.021). SWI remained a common complication after off-pump coronary artery bypass. MRSA infection was most common, and the mortality was high. Care bundle can effectively decrease the incidence of SWI, especially infection caused by MRSA.
AB - Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P =.03). Care bundle was more protective against MRSA infection (2.3% vs 0.5%, respectively; P =.021). SWI remained a common complication after off-pump coronary artery bypass. MRSA infection was most common, and the mortality was high. Care bundle can effectively decrease the incidence of SWI, especially infection caused by MRSA.
KW - Care bundle
KW - Methicillin resistance
KW - Off pump coronary artery bypass
KW - Staphylococcus aureus
KW - Sternal wound infection
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U2 - 10.1016/j.ajic.2014.01.016
DO - 10.1016/j.ajic.2014.01.016
M3 - Article
C2 - 24773797
AN - SCOPUS:84899575554
VL - 42
SP - 562
EP - 564
JO - American Journal of Infection Control
JF - American Journal of Infection Control
SN - 0196-6553
IS - 5
ER -