Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass

Chen Yen Chien; Cheng Hsin Lin; Ron Bin Hsu

doi:10.1016/j.ajic.2014.01.016

Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass

Chen Yen Chien, Cheng Hsin Lin, Ron Bin Hsu

Taipei Heart Institute (THI), Taipei Medical University

Research output: Contribution to journal › Article › peer-review

12 Citations (Scopus)

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P =.03). Care bundle was more protective against MRSA infection (2.3% vs 0.5%, respectively; P =.021). SWI remained a common complication after off-pump coronary artery bypass. MRSA infection was most common, and the mortality was high. Care bundle can effectively decrease the incidence of SWI, especially infection caused by MRSA.

Original language	English
Pages (from-to)	562-564
Number of pages	3
Journal	American Journal of Infection Control
Volume	42
Issue number	5
DOIs	https://doi.org/10.1016/j.ajic.2014.01.016
Publication status	Published - May 2014

Keywords

Care bundle
Methicillin resistance
Off pump coronary artery bypass
Staphylococcus aureus
Sternal wound infection

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Infectious Diseases
Health Policy
Epidemiology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ajic.2014.01.016

Cite this

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title = "Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass",

abstract = "Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P =.03). Care bundle was more protective against MRSA infection (2.3% vs 0.5%, respectively; P =.021). SWI remained a common complication after off-pump coronary artery bypass. MRSA infection was most common, and the mortality was high. Care bundle can effectively decrease the incidence of SWI, especially infection caused by MRSA.",

keywords = "Care bundle, Methicillin resistance, Off pump coronary artery bypass, Staphylococcus aureus, Sternal wound infection",

author = "Chien, {Chen Yen} and Lin, {Cheng Hsin} and Hsu, {Ron Bin}",

year = "2014",

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T1 - Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass

AU - Chien, Chen Yen

AU - Lin, Cheng Hsin

AU - Hsu, Ron Bin

PY - 2014/5

Y1 - 2014/5

N2 - Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P =.03). Care bundle was more protective against MRSA infection (2.3% vs 0.5%, respectively; P =.021). SWI remained a common complication after off-pump coronary artery bypass. MRSA infection was most common, and the mortality was high. Care bundle can effectively decrease the incidence of SWI, especially infection caused by MRSA.

AB - Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P =.03). Care bundle was more protective against MRSA infection (2.3% vs 0.5%, respectively; P =.021). SWI remained a common complication after off-pump coronary artery bypass. MRSA infection was most common, and the mortality was high. Care bundle can effectively decrease the incidence of SWI, especially infection caused by MRSA.

KW - Care bundle

KW - Methicillin resistance

KW - Off pump coronary artery bypass

KW - Staphylococcus aureus

KW - Sternal wound infection

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Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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