, Volume 471, Issue 10, pp 3133-3134
Date: 25 Jul 2013

CORR Insights®: Staphylococcus aureus Colonization among Arthroplasty Patients Previously Treated by Decolonization Protocol: A Pilot Study

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Where Are We Now?

The study by Economedes et al. highlights some of the major issues we face with methicillin resistant Staphylococcus aureus (MRSA) screening and decolonization.

The efficacy of MRSA screening and decolonization is a controversial topic. While some institutions and surgeons, like the senior author of the article by Economedes et al., have implemented universal screening and decolonization on their patients undergoing elective arthroplasty, others remain unconvinced about the efficacy of this process. Organizations such as the Association of Perioperative Registered Nurses endorse MRSA screening and decolonization [2], while a recent comprehensive report by Agency for Healthcare Research and Quality [1] raised questions about the efficacy of universal MRSA screening and decolonization. The workgroup updating the surgical site infection prevention guidelines at the Centers for Disease Control and Prevention recently tabled the issue due to inadequate evidence to support a

This CORR Insights® is a commentary on the articleStaphylococcus aureus Colonization among Arthroplasty Patients Previously Treated by Decolonization Protocol: A Pilot Study” by Economedes and colleagues available at: DOI: 10.1007/s11999-013-2856-3.
The author certifies that he, or a member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request.
The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR ® or the Association of Bone and Joint Surgeons®.
This CORR Insights® comment refers to the article available at DOI: 10.1007/s11999-013-2856-3.
This comment refers to the article available at: http://dx.doi.org/10.1007/s11999-013-2856-3.