Chest tube-related empyema due to methicillin-resistant Staphylococcus aureus: could the chest tube be coated with antiseptics?
We reviewed the epidemiology, clinical manifestations, and outcomes of 3 cases of chest tube-related empyema due to methicillin-resistant Staphylococcus aureus (MRSA). Antiseptic-impregnated chest tubes were inserted in cultures containing MRSA isolates from these 3 patients, and zone of inhibition were measured. Chest tube-related MRSA empyema might complicate tube thoracostomy, and coating the chest tube with antiseptic agents could prevent this complication.
Torres
Harrys A
HA
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030-4009, USA.
Hanna
Hend A
HA
Graviss
Linda
L
Chaiban
Gassan
G
Hachem
Ray
R
Chemaly
Roy F
RF
Girgawy
Essam
E
Raad
Issam I
II
D000368:Aged; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D002173:Cancer Care Facilities; D015505:Chest Tubes / Q000382:microbiology*; D004653:Empyema / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000517:prevention & control*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000472:pathogenicity*; D013781:Texas
D000891:Anti-Infective Agents, Local