Seminars in Arthroplasty
Volume 21, Issue 1 , Pages 42-44 , March 2010

Minimizing Infection Risk: Fortune Favors the Prepared Mind

  • Keith Berend, MD

      Affiliations

    • Joint Implant Surgeons, Inc., New Albany, OH, USA
    • Mount Carmel Health Systems; Columbus, OH, USA
    • Department of Orthopedics, the Ohio State University, Columbus, OH, USA
    • Corresponding Author InformationAddress reprint requests to Keith Berend, MD, Joint Implant Surgeons, Inc, 7277 Smith's Mill Rd, Suite 200, New Albany, OH 43054
    • ,
  • Adolph V. Lombardi Jr, MD, FACS

      Affiliations

    • Joint Implant Surgeons, Inc., New Albany, OH, USA
    • Mount Carmel Health Systems; Columbus, OH, USA
    • Department of Orthopedics, the Ohio State University, Columbus, OH, USA
    • Department of Biomedical Engineering, the Ohio State University, Columbus, OH, USA

References 

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  2. In: The collected papers of Joseph Lister, Vol 2: Classics of Medicine Library. Birmingham, AL: Gryphon Editions, Ltd; 1979;p. 365–371
  3. Peersman G, Laskin R, Davis J, et al. Prolonged operative times correlates with increased infection rate after total knee arthroplasty. HSS J. 2006;2:70–71
  4. Howard JL, Hanssen AD. Principles of a clean operating room environment. J Arthroplasty. 2007;22:6–11
  5. Towmey CL. Double gloving-risk reducing strategy. Jt Comm J Qual Saf. 2003;29:69–78
  6. Ritter MA, Eitzen H, French ML, et al. The operating room environment as affected by people and the surgical face mask. Clin Orthop. 1975;111:147–153
  7. Nelson CL. Prevention of sepsis. Clin Orthop. 1987;222:66–72
  8. Charnley J, Eftekhar N. Postoperative infection in total prosthetic replacement arthroplasty of the hip joint: With special reference to the bacterial content of the air of the operating room. Br J Surg. 1969;56:641–650
  9. Ritter MA, Olberdung EM, Malinzak RA. Ultraviolet lighting during orthopedic surgery and the rate of infection. J Bone Joint Surg Am. 2007;89:1935–1940
  10. Brandt C, Hott U, Sohr D, et al. Operating room ventilation with laminar flow shows no protective effect on surgical site infection rate in orthopedic and abdominal surgery. Ann Surg. 2008;248:695–700
  11. Salvati EA, Robinson RP, Zeno SM, et al. Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. J Bone Joint Surg Am. 1982;64:525–535
  12. Gould C. Orthopedics infections: Important issues in prevention and diagnosis. Am J Orthop. 2008;37:E1–E16
  13. Kuper M, Rosenstein A. Infection prevention in total knee and hip arthroplasties. Am J Orthop. 2008;37:E2–E5
  14. American Academy of Orthopedic Surgeons. Advisory statement: Recommendations for the use of intravenous antibiotic prophylaxis in primary total joint arthroplasty. http://www.aaos.org/about/papers/advistmt/1027.aspAccessed September 22, 2009
  15. AlBuhairan B, Hind D, Hutchinson A. Antibiotic prophylaxis for wound infections in total joint arthroplasty: A systematic review. J Bone Joint Surg Br. 2008;90:915–919
  16. Van Kasteren ME, Mannien J, Kullberg B, et al. Antibiotic prophylaxis and the risk of surgical site infections following total hip arthroplasty: Timely administration is the most important factor. Clin Infect Dis. 2007;44:921–927
  17. Parvizi J, Khaled JS, Ragland PS, et al. Efficacy of antibiotic-impregnated cement in total hip replacement-a meta-analysis. Acta Orthop. 2008;79:335–341
  18. Chui FY, Lin CF. Antibiotic-impregnated cement in revision total knee arthroplasty-a prospective cohort study of one hundred and eighty-three knees. J Bone Joint Surg Am. 2009;91:628–633
  19. Cummins JS, Tomek IM, Kantor SR, et al. Cost-effectiveness of antibiotic-impregnated bone cement used in primary total hip arthroplasty. J Bone Joint Surg Am. 2009;91:634–641
  20. Jamsen E, Huhtala H, Puolakka T, et al. Risk factors for infection after knee arthroplasty: A register-based analysis of 43,149 cases. J Bone Joint Surg Am. 2009;91:38–47
  21. Rao N, Cannella B, Crossett LS, et al. A preoperative decolonization protocol for Staphylococcus aureus prevents orthopedic infections. Clin Orthop. 2008;466:1343–1348
  22. Hacek DM, Robb WJ, Paule SM, et al. Staphylococcus aureus nasal decolonization in joint replacement surgery reduces infection. Clin Orthop. 2008;466:1349–1355

PII: S1045-4527(09)00096-0

doi: 10.1053/j.sart.2009.12.010

Seminars in Arthroplasty
Volume 21, Issue 1 , Pages 42-44 , March 2010

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