Orthopaedic Infection: Prevention and Diagnosis. (February 2017)

• Record Type: Journal Article
• Authors: Perry, Kevin I.; Hanssen, Arlen D.
• Is Part Of: Journal of the American Academy of Orthopaedic Surgeons. Volume 25(2017)Supplement 1
• Publication Date: 2017-02
• Subjects: Orthopedics -- Periodicals; Orthopedic surgery -- Periodicals; Joint Diseases -- Periodicals; Orthopedics -- Periodicals; Orthopedic surgery; Orthopedics; Periodicals; 616.7005
• DOI: 10.5435/JAAOS-D-16-00634
• Languages: English
• ISSNs: 1067-151X

Abstract

Abstract : Host optimization, reduction of bacteria, and establishing proper wound environment in the preoperative, intraoperative, and postoperative periods are the traditional cornerstones of infection prevention. Most institutions have standardized a systems approach to reduce the incidence of surgical site infections. Typically, these systems-based approaches promote protocols for hand and environmental hygiene, patients risk assessment and screening, surgical delays for identifiable and modifiable risk factors, infection surveillance, antibiotic stewardship programs, communication/coordination of care, physician 360° reporting, and unit-based safety programs. Despite the institution of these prevention efforts, there remains controversy about the efficacy and cost-effectiveness of a number of these approaches.