Patients’ experiences and compliance with preoperative screening and decolonization

Ethan Wilson; Alexandre R. Marra; Melissa Ward; Laura Chapin; Stephanie Boulden; Timothy C. Ryken; Lynne C. Jones; Loreen A. Herwaldt

doi:10.1016/j.ajic.2022.03.013

Back

Patients’ experiences and compliance with preoperative screening and decolonization

Journal article

Peer reviewed

Patients’ experiences and compliance with preoperative screening and decolonization

Ethan Wilson, Alexandre R. Marra, Melissa Ward, Laura Chapin, Stephanie Boulden, Timothy C. Ryken, Lynne C. Jones and Loreen A. Herwaldt

American journal of infection control, Vol.51(1), pp.78-82

01/2023

DOI: 10.1016/j.ajic.2022.03.013

PMCID: PMC11577962

PMID: 35339622

View Online

Abstract

•Reported adherence was highest at the hospital practicing universal decolonization.•Patients vary in their concern about surgical site infections.•Patients vary in the effort they will extend to prevent surgical site infections.•Few patients reported either barriers to adherence or side effects. To improve adherence with pre-surgical screening for Staphylococcus aureus nasal carriage and decolonization, we need more information about patients’ experiences with these protocols. We surveyed patients undergoing orthopedic, neurosurgical, or cardiac operations at Johns Hopkins Hospitals (JHH), the University of Iowa Hospitals and Clinics (UIHC) at MercyOne Northeast Iowa Neurosurgery (MONIN) to assess patients’ experiences with decolonization protocols. Five hundred thirty-four patients responded. Respondents at JHH were significantly more likely than those at the UIHC to report using mupirocin and were significantly more likely than those at the UIHC and MONIN to feel they received adequate information about surgical site infection (SSI) prevention and decolonization. Respondents at JHH were the least likely to not worry about SSI and they were more willing to do anything they could to prevent SSI. Few patients reported barriers to adherence and side effects of mupirocin or chlorhexidine. Respondents did not report either major side effects or barriers to adherence. Patients varied in their level of concern about SSI, their willingness to invest effort in preventing SSI, and their assessments of preoperative information. To improve patients' adherence, clinicians and hospitals should assess their patients’ needs and desires and tailor their preoperative processes, education, and prophylaxis accordingly.

Chlorhexidine

Mupirocin

Prophylaxis

Staphylococcus aureus

Surgical site infection

Survey

Details

Title: Subtitle: Patients’ experiences and compliance with preoperative screening and decolonization
Creators: Ethan Wilson - University of Iowa
Alexandre R. Marra - Hospital Israelita Albert Einstein
Melissa Ward - University of Iowa
Laura Chapin - MercyOne Northeast Iowa Neurosurgery.
Stephanie Boulden - MercyOne Northeast Iowa Neurosurgery.
Timothy C. Ryken - Dartmouth–Hitchcock Medical Center
Lynne C. Jones - Johns Hopkins School of Medicine, Department of Orthopaedic Surgery.
Loreen A. Herwaldt - Roy J. and Lucille A. Carver College of Medicine
Resource Type: Journal article
Publication Details: American journal of infection control, Vol.51(1), pp.78-82
DOI: 10.1016/j.ajic.2022.03.013
PMID: 35339622
PMCID: PMC11577962
NLM abbreviation: Am J Infect Control
ISSN: 0196-6553
eISSN: 1527-3296
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100000133, name: Agency for Healthcare Research and Quality
Language: English
Date published: 01/2023
Academic Unit: Infectious Diseases; Epidemiology; Neurosurgery; Internal Medicine
Record Identifier: 9984359905702771

Metrics

18 Record Views

2 Times Cited - Web of Science

See more details