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Effectiveness of preoperative decolonization with nasal povidone iodine in Chinese patients undergoing elective orthopedic surgery: a prospective cross-sectional study

Overview of attention for article published in Brazilian Journal of Medical and Biological Research, January 2018
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Title
Effectiveness of preoperative decolonization with nasal povidone iodine in Chinese patients undergoing elective orthopedic surgery: a prospective cross-sectional study
Published in
Brazilian Journal of Medical and Biological Research, January 2018
DOI 10.1590/1414-431x20176736
Pubmed ID
Authors

H-M. Peng, L-C. Wang, J-L. Zhai, X-S. Weng, B. Feng, W. Wang

Abstract

Staphylococcus aureus colonization in the nares of patients undergoing elective orthopedic surgery increases the potential risk of surgical site infections. Methicillin-resistant S. aureus (MRSA) has gained recognition as a pathogen that is no longer only just a hospital-acquired pathogen. Patients positive for MRSA are associated with higher rates of morbidity and mortality following infection. MRSA is commonly found in the nares, and methicillin-sensitive S. aureus (MSSA) is even more prevalent. Recently, studies have determined that screening for this pathogen prior to surgery and diminishing staphylococcal infections at the surgical site will dramatically reduce surgical site infections. A nasal mupirocin treatment is shown to significantly reduce the colonization of the pathogen. However, this treatment is expensive and is currently not available in China. Thus, in this study, we first sought to determine the prevalence of MSSA/MSRA in patients undergoing elective orthopedic surgery in northern China, and then, we treated the positive patients with a nasal povidone-iodine swab. Here, we demonstrate a successful reduction in the colonization of S. aureus. We propose that this treatment could serve as a cost-effective means of eradicating this pathogen in patients undergoing elective orthopedic surgery, which might reduce the rate of surgical site infections.

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Mendeley readers

The data shown below were compiled from readership statistics for 40 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 40 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 20%
Other 6 15%
Student > Ph. D. Student 3 8%
Student > Master 3 8%
Student > Bachelor 3 8%
Other 8 20%
Unknown 9 23%
Readers by discipline Count As %
Medicine and Dentistry 16 40%
Pharmacology, Toxicology and Pharmaceutical Science 4 10%
Social Sciences 2 5%
Immunology and Microbiology 2 5%
Agricultural and Biological Sciences 1 3%
Other 5 13%
Unknown 10 25%