Surgery Today

, Volume 29, Issue 8, pp 724–729

New methods of control against postoperative methicillin-resistantStaphylococcus aureus infection

Authors

  • Shinya Kusachi
    • Third Department of SurgeryToho University School of Medicine
  • Yoshinobu Sumiyama
    • Third Department of SurgeryToho University School of Medicine
  • Jiro Nagao
    • Third Department of SurgeryToho University School of Medicine
  • Kunihiko Kawai
    • Third Department of SurgeryToho University School of Medicine
  • Yoichi Arima
    • Third Department of SurgeryToho University School of Medicine
  • Yuichi Yoshida
    • Third Department of SurgeryToho University School of Medicine
  • Hirohisa Kajiwara
    • Third Department of SurgeryToho University School of Medicine
  • Yoshihisa Saida
    • Third Department of SurgeryToho University School of Medicine
  • Yoichi Nakamura
    • Third Department of SurgeryToho University School of Medicine
Original Articles

DOI: 10.1007/BF02482316

Cite this article as:
Kusachi, S., Sumiyama, Y., Nagao, J. et al. Surg Today (1999) 29: 724. doi:10.1007/BF02482316

Abstract

The incidence of postoperative infections caused by methicillin-resistantStaphylococcus aureus (MRSA) in Japan has been increasing dramatically. In March 1990, we assigned special doctors in infection control (infection control doctor, ICD), and defined comprehensive controls against MRSA infection. A total of 3 536 cases of digestive tract surgery performed at our department were studied during the period between September 1987 and August 1997. We changed the use of antibiotics to prevent postoperative infection. Cefazolin (CEZ) was employed for surgery of the upper digestive tract, including esophagus, stomach, duodenum, and gallbladder. Cefotiam (CTM) was employed for surgery of the lower digestive tract, liver, and pancreas. In esophageal resection, the tracheal tube was extracted during the early postoperative period, and for cervical esophagogastroanastomosis, the autosuture was changed to layer-to-layer anastomosis. We have achieved successful control of postoperative MRSA infection, the incidence having decreased to 0.3% (9/2703). In conclusion, our methods of control against postoperative MRSA infection implies that comprehensive measures of prevention, including the reviewed specification and usage of antibiotics and operation management, have been well implemented. This value is the lowest and the first of any domestic hospital or institute in Japan, suggesting a continued and significant decrease.

Key Words

MRSA infectiondigestive tract surgerypost-operative infectioninfection control doctor

Copyright information

© Springer-Verlag 1999