الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Surgical site infection is rare but very serious complication that occurs after surgery. Staph. aureus is the most common organism that cause SSI. The incidence of SSI markedly increases in patients who are nasal carriers of Staph. aureus. So, Screening/ Decolonization of Staph. aureus plays an important role in reduction of postoperative SSI. Screening can be done using tools for rapid detection of Staph. aureus such as ORSAB media on the day of admission. We divided carriers of Staph. aureus into 2 groups: intervention and control group. In intervention group we used Muperocin 2% ointment twice daily for 5 days , body wash with chlorhexidine before surgery in addition to prophylactic dose of Vancomycin half an hour before surgery in addition to another dose 12 hours after the procedure. We found that; the rate of postoperative SSI decreased in intervention group. Preoperative screening and decolonization of Staph. aureus plays a very important role in reduction of health care-associated Staph. aureus infections especially in those who undergo surgical procedure and have liability to be infected with Staph. aureus (such as nasal carriers). The result of our study provides an important stimulus to the decision makers to change their prophylactic strategies against Staph. aureus to reduce the rate of SSI. Muperocin 2% ointment, chlorhexidine wash, and prophylactic dose of vancomycin half an hour before surgery and 12 hours after surgery an effective protocol for MRSA decolonization.