ICJR Interviews: Who’s Likely to Be Colonized with Staphylococcus aureus?
Not all surgeons practice at an institution with the resources to screen every joint replacement patients for Staphylococcus aureus, decolonize those who are found to be colonized, and then adjust the preoperative antibiotic regimen accordingly to prevent periprosthetic joint infection (PJI).
With that in mind, Calin S. Moucha, MD, and his colleagues at Mount Sinai Medical Center in New York conducted a retrospective chart review of approximately 800 patients to determine which were most likely to have S. aureus nasal colonization, putting them at greatest risk for a PJI.
Dr. Moucha said they found 3 important risk factors:
- History of diabetes
- History of immunosuppression
- History of renal insufficiency
Narrowing the focus should make it easier for surgeons to institute a screening protocol for S. aureus nasal colonization, he said.
Click the image above to hear Dr. Moucha’s comments on the study, “Risk Factors for Staphylococcus Aureus Nasal Colonization in Joint Replacement Patients” (Paper 574), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.
Producer: Henrik B. Pedersen, MD; Director: Michael Bugera; Post Production: Charles J. Maynard