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Related Experiment Videos

Evidence-based infection control in thoracic surgery.

Junichi Yoshida1, Teruo Kirikae, Naoki Yamanaka

  • 1Department of Surgery, Shimonoseki City Hospital, 1-13-1 Koyo-cho, Shimonoseki 750-8520, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|August 9, 2002
PubMed
Summary

Evidence-based infection control (EBIC) effectively reduced Methicillin-resistant Staphylococcus aureus (MRSA) infections in lung and cardiovascular surgery patients. This strategy, combining global guidelines and cluster analysis, proved useful in preventing cross-infection.

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Area of Science:

  • Infectious Disease Epidemiology
  • Healthcare-Associated Infections
  • Surgical Site Infection Prevention

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) presents a significant risk to patients undergoing lung and cardiovascular surgery.
  • Effective infection control strategies are crucial to mitigate MRSA transmission in surgical settings.

Purpose of the Study:

  • To evaluate the efficacy of an evidence-based infection control (EBIC) program in reducing MRSA infections.
  • To assess the impact of EBIC, incorporating cluster analysis and global guidelines, on postoperative MRSA incidence.

Main Methods:

  • A comparative study was conducted, analyzing 21 MRSA strains using minimal inhibition concentration for 17 drugs and cluster analysis.
  • Postoperative MRSA infection rates were compared between periods with and without EBIC implementation.

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  • Specific environmental controls, such as eliminating tweezers stands and emesis basins, were noted.

    • Main Results:

    • Cluster analysis demonstrated a typing sensitivity of 72%.
    • The implementation of EBIC led to a decrease in MRSA cross-infection in the recovery room.
    • MRSA incidence in lung surgery decreased from 1/190 to 0/200, and in cardiovascular surgery from 2/169 to 0/84.
    • Overall MRSA prevalence among Staphylococcus aureus isolates fell from 68% in 1999 to 57% in 2000.

    Conclusions:

    • Evidence-based infection control (EBIC), integrating global guidelines and cluster analysis, is effective in controlling MRSA.
    • The EBIC strategy significantly reduced MRSA infections in lung and cardiovascular surgery patients.
    • The findings support the adoption of EBIC for MRSA prevention in high-risk surgical populations.