The hypothesis is that application of Mupirocin to the nose before and after coronary artery bypass grafting surgery will reduce the incidence of surgical site infections.
Mupirocin applied to the nares is effective in eradicating nasal carriage of Staphylococcus species. Abundant evidence has documented that a majority of gram positive surgical site infections share bacterial phenotypes identical with nasal phage types. Conflicting literature exists regarding the efficacy of mupirocin in reducing the incidence of surgical site infections. A randomized prospective double-blind placebo-controlled trial is needed to help settle this question in the setting of coronary artery bypass grafting surgery where surgical site infections carry significant morbidity, cost, and mortality.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
974
New Brunswick Heart Centre, Saint John Regional Hospital
Saint John, New Brunswick, Canada
Surgical Site Infection
Surgical site infections (SSI) are classified as superficial, deep, or organ surgical site infections based on CDC definition.
Time frame: <30 days post operation
Mortality
Time frame: < or = 30 days post operation
Serious adverse durg effects
Rashes, rhinorrhea, pruritis, bleeding from nares
Time frame: < or = 30 day post operation
S. aureus carrier status
Nasal carriage of Staphylococcus aureus assess pre-intervention and post-intervention.
Time frame: < or = 30 day post operation
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