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Evidence-based infection control in thoracic surgery

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Abstract

Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) continues to pose a major threat to the lung and cardiovascular surgery patients. We propose evidence-based infection control (EBIC) against MRSA.Methods: We conducted a basic study comparing genotyping to cluster analysis using minimal inhibition concentration on 17 drugs for 21 MRSA strains. With or without EBIC using cluster analysis and global evidence, we compared the incidence of postoperative MRSA infection. Notably, we eliminated tweezers stands and emesis basins.Results: Cluster analysis showed a typing sensitivity of 72%. The use of EBIC decreased MRSA cross-infection in the recovery room. A lung surgery series showed an MRSA incidence of 1/190 before and 0/200 after EBIC was introduced. For a cardiovascular surgery series, the MRSA incidence was 2/169 before and 0/84 after EBIC was introduced. Across wards, MRSA among Staphylococcus aureus in patient fell from 68% in 1999 to 57% in 2000.Conclusions: EBIC consisting of global guidelines and cluster analysis was useful in controlling MRSA in lung and cardiovascular surgery patients.

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Authors and Affiliations

  1. Division of the Lung, Shimonoseki City Hospital, Shimonoseki, Japan

    Junichi Yoshida, Teruo Kirikae, Naoki Yamanaka, Hiroyuki Suzuki & Tatsuji Onzuka

  2. Division of Cardiovascular Surgery, Shimonoseki City Hospital, Shimonoseki, Japan

    Manabu Hisahara & Yasutaka Ueno

  3. Department of Infectious Diseases and Tropical Medicine, Research Institute International Medical Center of Japan, Tokyo, Japan

    Junichi Yoshida, Teruo Kirikae, Naoki Yamanaka, Hiroyuki Suzuki & Tatsuji Onzuka

Authors
  1. Junichi Yoshida
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  2. Teruo Kirikae
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  3. Naoki Yamanaka
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  4. Hiroyuki Suzuki
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  5. Tatsuji Onzuka
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  6. Manabu Hisahara
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  7. Yasutaka Ueno
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Additional information

Read at the Fifty-fourth Annual Meeting of The Japanese Thoracic Surgery, Panel discussion, Osaka, October 3–5, 2001.

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Yoshida, J., Kirikae, T., Yamanaka, N. et al. Evidence-based infection control in thoracic surgery. Jpn J Thorac Caridovasc Surg 50, 273–279 (2002). https://doi.org/10.1007/BF03032294

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  • DOI: https://doi.org/10.1007/BF03032294

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