BACKGROUND: Up to 2.3 million @entity1 are colonized with @entity3256 -resistant @entity794 in the United States, causing well-documented morbidity and mortality. Although the association of clinical outcomes with community and hospital carriage rates is increasingly defined, less is reported about asymptomatic colonization prevalence among physicians, and specifically plastic surgeons and the subsequent association with the incidence of @entity1 surgical-site infection. METHODS: A review of the literature using the PubMed and Cochrane databases analyzing provider screening, transmission, and prevalence was undertaken. In addition, a search was completed for current screening and decontamination guidelines and outcomes. RESULTS: The @entity3256 -resistant @entity794 carriage prevalence of surgical staff is 4.5 percent. No prospective data exist regarding transmission and interventions for plastic surgeons. No studies were found specifically looking at prevalence or treatment of plastic surgeons. Current recommendations by national organizations focus on @entity1 -oriented point-of-care testing and intervention, largely ignoring the role of the health care provider. Excellent guidelines exist regarding screening, transmission prevention, and treatment both in the workplace and in the community. No current such guidelines exist for plastic surgeons. CONCLUSIONS: No Level I or II evidence was found regarding physician screening, treatment, or transmission. Current expert opinion, however, indicates that plastic surgeons and their staff should be vigilant for @entity3256 -resistant @entity794 transmission, and once a sentinel cluster of skin and soft-tissue @entity281 is identified, systematic screening and decontamination should be considered. If positive, topical decolonization therapy should be offered. In refractory cases, oral antibiotic therapy may be required, but this should not be used as a first-line strategy.

Comprehensive review of @entity3256 -resistant XXXX : screening and preventive recommendations for plastic surgeons and other surgical health care providers.

@entity1 :: ('9606', 'Species') :: ['patient', 'people'] @entity3256 :: ('MESH:D008712', 'Chemical') :: ['methicillin'] @entity794 :: ('1280', 'Species') :: ['Staphylococcus aureus', 'S. aureus'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections']
@entity794 :: (1280,Species) :: ['Staphylococcus aureus']
