Link: HighWire Press — Medline Abstract.
PURPOSE: Bacteriological examinations at hospitalization were monitored to identify carriers of pathogenic bacteria and prevent the outbreak of nosocomial and postoperative infections. METHODS: In 557 patients, bacteriological examinations were performed within 48 hours after hospitalization. All people were instructed to wash their hands before and after treating carriers of methicillin-resistant Staphylococcus aureus (MRSA), methicillin-resistant Staphylococcus epidermidis (MRSE), and/or Pseudomonas aeruginosa (PA). The disposal of stool and urine of carriers was segregated instead of administration of sensitive antibiotics. RESULTS: The 1176 samples comprised 557 throat swabs, 532 stool samples, and 87 other samples. At hospitalization, 9.2% of the patients were carriers of MRSA; 22.3% of the patients were carriers of MRSA, MRSE, PA, and/or other pathogenic bacteria. This percentage increased to 29.3% in 352 patients with a history of hospitalization, and 35.2% in 244 patients who were hospitalized within 1 year after previous hospitalization. Nosocomial and postoperative infections did not occur during the study period. CONCLUSION: Many patients were detected as carriers of pathogenic bacteria at hospitalization. A history of hospitalization was found to be a risk factor for carrying pathogenic bacteria; hospitalization within 1 year after previous hospitalization was a high-risk factor.
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I have had my right hip removed at the Milpark hospital in Johannesburg because of an infection that was there I had a protheses fitted 12 years ago.I have had the hip removed because of the infection three years ago and the surgeon has tried three times to reopen the wound and clean out the MRSA all attemps have failed.I were a colostimy bag on a sinus which has opened on the wound and discharges blood and puss 24/24.
It was suggested by the surgeon that the only way to stop the pain in the hip area was to amputate my leg which I feel is not an option to consider unless it becomes life threatning.What is the answer?