title: Chest tube-related empyema due to methicillin-resistant Staphylococcus aureus: could the chest tube be coated with antiseptics?
abstract: 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.
authors.affiliation: Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030-4009, USA.
authors.forename: Harrys A
authors.initials: HA
authors.lastname: Torres
authors.forename: Hend A
authors.initials: HA
authors.lastname: Hanna
authors.forename: Linda
authors.initials: L
authors.lastname: Graviss
authors.forename: Gassan
authors.initials: G
authors.lastname: Chaiban
authors.forename: Ray
authors.initials: R
authors.lastname: Hachem
authors.forename: Roy F
authors.initials: RF
authors.lastname: Chemaly
authors.forename: Essam
authors.initials: E
authors.lastname: Girgawy
authors.forename: Issam I
authors.initials: II
authors.lastname: Raad
mesh_terms: 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
chemical_list: D000891:Anti-Infective Agents, Local