Abstract
To the Editor?We read with interest the article by Kluytmans et al. [1] about nasal carriage of Staphylococcus aureus and wound infections after cardiac surgery. Our 705-bed institution has an active cardiac surgery program, with ~900 open heart surgical procedures performed each year. The overall wound infection rate was 7.1 l07o in 1993 and 6.65(K) in 1994, with sternal wound infection rates of 3.02o7o and 3.60o7o, respectively. Our hospital isolates a high number of methicillin-resistant S. aureus (MRS A) and has periodic clusters of cases. In an attempt to prevent these infections after open heart surgery, we implemented preoperative surveillance cultures of the nares, axilla, and groin
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