title: [Screening for carriage of Staphylococcus aureus prior to mammary reconstruction in the prevention of surgical site infection].
abstract: The incidence of prosthesis infections after breast reconstruction is of the order of 4% to 13% according to the literature. In surgical patients, Staphylococcus aureus (S. aureus) is the bacterial species most often responsible for surgical site infections. In cardiac surgery, screening for carriage of S. aureus and preoperative decontamination are carried out routinely before prosthetic surgery. We retrospectively reviewed data from patients at our institution between January 2011 and December 2013. Our series showed that the prosthesis infection rates were in the range of 5.92% in 2008 with an ISO rate of S. aureus 3.61%. Routine screening for prosthetic reconstructions was performed to assess the impact of preoperative decontamination patients in carriers of S. aureus. This screening was done in 381 patients: 17.8% of patients were carriers of S. aureus ; 11 patients have an ISO (or an incidence rate of 2.88%) ; 5 patients have an ISO S. aureus (an incidence of S. aureus ISO 1.3%). The introduction of the screening process, allowed a drop of 5.92% ISO rate at 1.46% with a passage of S. aureus SSI rates of 3, 60% to 0.72%. In the near future, studies are needed to confirm these encouraging results, to demonstrate the efficacy of preoperative decontamination in carriers of S. aureus patients before laying prosthesis.
authors: Département de chirurgie, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France.
authors: S
authors: S
authors: Rouquette
authors: Département de chirurgie, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France.
authors: F
authors: F
authors: Cherrière
authors: Département hygiène et qualité, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France.
authors: A
authors: A
authors: Vagneur
authors: Département de biologie, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France.
authors: F
authors: F
authors: Godey
authors: Pôle biologie CHU Pontchaillou, 35000 Rennes, France.
authors: S
authors: S
authors: Sun
authors: Pôle biologie CHU Pontchaillou, 35000 Rennes, France; EA 1254 microbiologie, université de Rennes 1, 35043 Rennes, France.
authors: A
authors: A
authors: Jolivet-Gougeon
authors: Département de chirurgie, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France.
authors: H
authors: H
authors: Mesbah
authors: Département de chirurgie, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France; Département hygiène et qualité, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France; Département de biologie, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France. Electronic address: o.audrain@rennes.unicancer.fr.
authors: O
authors: O
authors: Audrain
authors: Département de chirurgie, CLCC centre Eugène-Marquis, CS44229, 35042 Rennes cedex, France.
authors: C
authors: C
authors: Bendavid
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D016462:Mammaplasty; D016712:Mupirocin / Q000627:therapeutic use; D009296:Nasal Cavity / Q000382:microbiology; D011300:Preoperative Care; D011446:Prospective Studies; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000517:prevention & control*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000382:microbiology / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents; D016712:Mupirocin
keywords: Breast surgery; Chirurgie du sein; Infection; Mammaplasty; Prevention and control; Prosthesis-related infections; Prothèse; Reconstruction mammaire; Staphylococcus aureus