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Chest Tube–Related Empyema Due to Methicillin-Resistant Staphylococcus aureus: Could the Chest Tube Be Coated With Antiseptics?

Published online by Cambridge University Press:  21 June 2016

Harrys A. Torres
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Hend A. Hanna
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Linda Graviss
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Gassan Chaiban
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Ray Hachem
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Roy F. Chemaly
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Essam Girgawy
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
Issam I. Raad*
Affiliation:
Division of Internal Medicine, Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
*
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 402, Houston, TX 77030-4009 (iraad@mdanderson.org)

Abstract

We reviewed the epidemiology, clinical manifestations, and outcomes of 3 cases of chest tube–related empyema due to methicillin-resistant Staphylococcus aureus (MRSA). Antiseptic-impregnated chest tubes were inserted in cultures containing MRSA isolates from these 3 patients, and zone of inhibition were measured. Chest tube–related MRSA empyema might complicate tube thoracostomy, and coating the chest tube with antiseptic agents could prevent this complication.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Vikram, HR, Quagliarello, VJ. Diagnosis and management of empyema. Curr Clin Top Infect Dis 2002; 22:196213.Google Scholar
2.Iwahara, T, Ichiyama, S, Nada, T, Shimokata, K, Nakashima, N. Clinical and epidemiologic investigations of nosocomial pulmonary infections caused by methicillin-resistant Staphylococcus aureus. Chest 1994; 105: 826831.Google Scholar
3.Tenover, FC, Arbeit, RD, Goering, RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995; 33:22332239.Google Scholar
4.NCCLS. Performance standards for antimicrobial disk susceptibility tests. 6th ed.; approved standard. NCCLS document M2-A6. Wayne, PA: NCCLS; 1997.Google Scholar
5.Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections. In: Olmsted, RN, ed. APIC Infection control and Applied Epidemiology: Principles and Practice. St Louis: Mosby; 1996: A1A20.Google Scholar
6.Maki, DG, Stolz, SM, Wheeler, S, Mermel, LA. Prevention of central venous catheter-related bloodstream infection by use of an antiseptic-impregnated catheter: a randomized, controlled trial. Ann Intern Med 1997; 127:257266.Google Scholar
7.Sampath, LA, Chowdhury, N, Caraos, L, Modak, SM. Infection resistance of surface modified catheters with either short-lived or prolonged activity. J Hosp Infect 1995; 30:201210.Google Scholar
8.Nabulsi, N, Hanna, HA, Raad, II. Devices impregnated with novel antiseptic agents: broad-spectrum activity and prolonged antimicrobial durability. In: Program and Abstracts of the 41st Interscience Conference on Antimicrobial Agents and Chemotherapy (Chicago). Washington, DC: American Society for Microbiology; 2001:434. Abstract K-1459.Google Scholar
9.Chambers, HF. The changing epidemiology of Staphylococcus aureus? Emerg Infect Dis 2001; 7:178182.Google Scholar
10.Kondo, D, Kita, Y. A successful case report of conservative treatment of MRSA empyema after right pneumonectomy. Kyobu Geka 1995; 48:592594.Google Scholar