Highlights
- •Surgical infection causes significant patient suffering and health care costs.
- •To reduce the risk, 1 hospital introduced universal nasal and skin decolonization.
- •Decolonization was provided with alcohol nasal antiseptic and chlorhexidine soap.
- •Surgical infection rate was reduced to zero for total hip and knee procedures.
Surgical site infection after total joint replacement results in significant patient
suffering and health care costs. To reduce the risk of surgical site infection after
total joint procedures, 1 hospital instituted preoperative universal nasal and skin
decolonization, using an alcohol based nasal antiseptic and chlorhexidine bathing.
This resulted in reduced infection rates, and associated patient morbidity and costs
to the facility.
Key words
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References
- Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030.J Bone Joint Surg Am. 2007; 89: 780-785
- Economic burden of periprosthetic joint infection in the United States.J Arthroplasty. 2012; 27: 61-65
- Preoperative Staphylococcus aureus screening/decolonization protocol before total joint arthroplasty - results of a small prospective randomized trial.J Arthroplasty. 2016; 31: 234-239
- The current state of screening and decolonization for the prevention of Staphylococcus aureus surgical site infection after total hip and knee arthroplasty.J Bone Joint Surg Am. 2015; 97: 1449-1458
- Preventing surgical-site infections in nasal carriers of Staphylococcus aureus.New Engl J Med. 2010; 362: 9-17
- Perioperative participation of orthopedic patients and surgical staff in a nasal decolonization intervention to reduce Staphylococcus spp surgical site infections.Am J Infect Control. 2017; 45: 554-556
- Mupirocin resistance.Clin Infect Dis. 2009; 49: 935-941
- Preventing surgical site infections: a randomized, open-label trial of nasal mupirocin ointment and nasal povidone-iodine solution.Infect Control Hosp Epidemiol. 2014; 35: 826-832
- Decolonization in prevention of health care-associated infections.Clin Microbiol Rev. 2016; 29: 201-222
- Impact of reduced isolation and contact precaution procedures on infection rates and facility costs at a non-profit acute care hospital.Am J Inf Contr. 2016; 44: S101-S102
Article info
Publication history
Published online: April 29, 2020
Footnotes
Conflict of interest: Nasal antiseptic was provided by Global Life Technologies for 8 months of the trial period.
Identification
Copyright
© 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
