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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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