Abstract:
:Whereas several studies evaluate MRSA in inpatients, for outpatients there are merely expert recommendations, but no systematic studies. Mostly, MRSA in outpatients is tolerated but not eradicated. Particularly, for risk patients with chronic wounds some experts postulate that MRSA-eradication is even impossible. For the first time, this pilot study systematically searched for the results of an eradication of MRSA in chronic leg ulcers of outpatients. 38 outpatients with a MRSA colonized leg ulcer were included in the survey and retrospective data analysis. Additionally to a wound therapy with silver-containing wound dressings, all patients were recommended to apply antiseptic eradication measures in accordance with the recommendations for inpatient treatment. MRSA was considered to be persistent, if it was detectable in the wound after at least one month of recommended eradication therapy. In 16 patients the MRSA could be successfully eradicated (MRSA-E), in 22 it could not (MRSA-P). Results showed a significant benefit of antiseptic body washes during the decontamination (MRSA-E 62.5%, MRSA-P 22.7%; p=0.0082). Other antiseptic measures like daily change of clothes and linen or disinfections of personal things and surroundings did not show significance. In conclusion, this pilot study shows that eradication of MRSA in chronic wounds is possible in outpatients. Antiseptic measurements, even administered by the patients themselves, seem to have a positive influence. Their efficacy has to be proven in larger, placebo-controlled studies for outpatient eradication.
journal_name
Int J Hyg Environ Healthauthors
Reich-Schupke S,Warneke K,Altmeyer P,Stücker Mdoi
10.1016/j.ijheh.2010.01.001subject
Has Abstractpub_date
2010-03-01 00:00:00pages
88-92issue
2eissn
1438-4639issn
1618-131Xpii
S1438-4639(10)00018-0journal_volume
213pub_type
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