Advance pre-operative chlorhexidine reduces the incidence of surgical site infections in knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-07

AUTHORS

Michael G. Zywiel, Jacqueline A. Daley, Ronald E. Delanois, Qais Naziri, Aaron J. Johnson, Michael A. Mont

ABSTRACT

Surgical site infections following elective knee arthroplasties occur most commonly as a result of colonisation by the patient's native skin flora. The purpose of this study was to evaluate the incidence of deep surgical site infections in knee arthroplasty patients who used an advance cutaneous disinfection protocol and who were compared to patients who had peri-operative preparation only. All adult reconstruction surgeons at a single institution were approached to voluntarily provide patients with chlorhexidine gluconate-impregnated cloths and a printed sheet instructing their use the night before and morning of surgery. Records for all knee arthroplasties performed between January 2007 and December 2008 were reviewed to determine the incidence of deep incisional and periprosthetic surgical site infections. Overall, the advance pre-operative protocol was used in 136 of 912 total knee arthroplasties (15%). A lower incidence of surgical site infection was found in patients who used the advance cutaneous preparation protocol as compared to patients who used the in-hospital protocol alone. These findings were maintained when patients were stratified by surgical infection risk category. No surgical site infections occurred in the 136 patients who completed the protocol as compared to 21 infections in 711 procedures (3.0%) performed in patients who did not. Patient-directed skin disinfection using chlorhexidine gluconate-impregnated cloths the evening before, and the morning of, elective knee arthroplasty appeared to effectively reduce the incidence of surgical site infection when compared to patients who underwent in-hospital skin preparation only. More... »

PAGES

1001-1006

References to SciGraph publications

  • 2007-02. Outcome following deep wound contamination in cemented arthroplasty in INTERNATIONAL ORTHOPAEDICS
  • 2010-04. The microbiology of the infected knee arthroplasty in INTERNATIONAL ORTHOPAEDICS
  • 2010-01. Prosthetic Joint Infection Risk after TKA in the Medicare Population in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00264-010-1078-5

    DOI

    http://dx.doi.org/10.1007/s00264-010-1078-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1009188649

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20563806


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