Surgical instruments that are of poor quality or improperly maintained can fail during procedures, an alarming occurrence that jeopardizes outcomes...
If you’re one of the many facilities leaders wrestling with trying to decide which patients should undergo nasal decolonization before their procedures, you might be asking the wrong question. Instead of focusing your time and resources on pinpointing the most appropriate patient demographic, perhaps focus on convincing your staff to implement a standardized nasal decolonization protocol.
“Around 30% of the general patient population walk into your facility colonized with Staphylococcus aureus (S. aureus) in their nares,” says Karen Hoffmann, RN, MS, CIC, FSHEA, FAPIC, a clinical instructor in the division of infectious diseases at University of North Carolina’s School of Medicine in Chapel Hill. “When you consider that 70% to 80% of surgical site infections (SSIs) are caused by strains of S. aureus in patients’ own noses, universal nasal decolonization is a worthwhile endeavor.”
In other words, the fundamental question surrounding the practice given the overwhelming data on its effectiveness really should be: Why wouldn’t you decolonize all your patients?