As an Army health care provider for nearly 40 years and former acting Surgeon General of the Army, I know well the critical needs to ensure troop medical readiness and to respond to changing environments. We must use all the tools available to promote the health and well-being of our military personnel. There is one tool we have yet to deploy which I believe we should. Incorporating nasal decolonization strategies in congregant settings using alcohol-based antiseptics, just as several military hospitals have done, is a cost-effective and clinically-proven solution to help mitigate the risk of infections.
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http://dx.doi.org/10.1093/milmed/usad431 | DOI Listing |
Infect Control Hosp Epidemiol
January 2025
Division of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
We surveyed 111 institutions' practices for screening and decolonization of in presurgical patients. Institutions commonly utilize universal, targeted, or no decolonization strategies. Frequently reported products were nasal mupirocin, chlorhexidine gluconate bathing, and nasal povidone-iodine.
View Article and Find Full Text PDFMil Med
January 2025
US Army Medical Department, Uniformed Services University, Bethesda, MD 20814, USA.
Int Urol Nephrol
December 2024
Nephrology Dialysis and Kidney Transplant Unit, Azienda Ospedaliero - Universitaria di Modena, Via del Pozzo, 71, 41124, Modena, Italy.
Introduction: Screening for nasal carriage of Staphylococcus (S.) aureus is associated with a reduction of peritoneal dialysis (PD)-related infections, but conflicting results have questioned the benefit of this practice. This study evaluated the clinical effectiveness of the screening program for nasal carriage of S.
View Article and Find Full Text PDFTrials
December 2024
Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Background: Vancomycin, an antibiotic with activity against methicillin-resistant Staphylococcus aureus (MRSA), is frequently included in empiric treatment for community-acquired pneumonia (CAP) despite the fact that MRSA is rarely implicated in CAP. Conducting polymerase chain reaction (PCR) testing on nasal swabs to identify the presence of MRSA colonization has been proposed as an antimicrobial stewardship intervention to reduce the use of vancomycin. Observational studies have shown reductions in vancomycin use after implementation of MRSA colonization testing, and this approach has been adopted by CAP guidelines.
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