Tourniquets and exsanguinators: A potential source of infection in the orthopedic operating theater?

Acta Orthopaedica

Volumn 80, Issue 2, 2009, Pages 251-255

  Brennan, Stephen A ^a   Walls, Raymond J ^a   Smyth, Elizabeth ^a   Mulla, Talal Al ^a   O'Byrne, John M ^a  

^a CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BACTERIAL COLONIZATION; CATHETER; CATHETER INFECTION; COAGULASE NEGATIVE STAPHYLOCOCCUS; CONTROLLED STUDY; HOSPITAL INFECTION; HUMAN; OPERATING ROOM; ORTHOPEDIC EQUIPMENT; PROTEUS; STAPHYLOCOCCUS AUREUS; SURGICAL INFECTION; TOURNIQUET; BACTERIAL COUNT; BANDAGE; CROSS INFECTION; EQUIPMENT; FOMITE; INFECTION CONTROL; MICROBIOLOGY;

BANDAGES; COLONY COUNT, MICROBIAL; CROSS INFECTION; EQUIPMENT CONTAMINATION; FOMITES; HUMANS; INFECTION CONTROL; OPERATING ROOMS; TOURNIQUETS;

EID: 65449165687     PISSN: 17453674     EISSN: 17453682     Source Type: Journal    
DOI: 10.3109/17453670902930016     Document Type: Article

References (29)

1. Armstrong R W, Bolding F, Joseph R. Septic arthritis following arthroscopy: Clinical syndromes and analysis of risk factors. Arthroscopy 1992; 8 (2): 213-223
2. Ballal M S, Emms N, O'Donoghue M, Redfern T R. Rhys-Davies exsanguinators: A haven for bacteria. J Hand Surg (Br) 2007; 32; 452.
3. Banerjee D, Fraise A, Chana K. Writing pens are an unlikely vector of crossinfection with methicillin resistant Staphylococcus aureus (MRSA). J Hosp Infect 1999; 43 (1): 73-75
4. Blom A W, Estela C M, Bowker K E, MacGowan A P, Hardy J. The passage of bacteria through surgical drapes. Ann R Coll Surg 2000; 82: 405-407
5. Blom A W, Gozzard C, Heal J, Bowker K, Estela C M. Bacterial strikethrough of re-usable surgical drapes: The effect of different wetting agents. J Hosp Infection 2002; 52: 52-55
6. Blom A W, Barnett A, Ajitsaria. Resistance of disposable drapes to bacterial penetration. J Orthop Surg 2007; 15 (3): 267-269
7. Bures S, Fishbain J T, Uyehara C F, Parker J M, Berg B W. Computer keyboards and faucet handles are reservoirs of nosocomial pathogens in the intensive care unit. Am J Infect Control 2000; 28: 465-471
8. Das I, Lambert P, Hill D, Noy M, Bion J, Elliott T. Carbapenem-reistant Acinetobacter and role of curtains in intensive care units. J Hosp Infect 2002; 50 (2): 110-114
9. de Boer A, Mintjes de Groot A, Severijnen A, van den Berg J, van Pelt W. Risk assessment for surgical site infections in orthopedic patients. Infect Control Hosp Epidemiol 1999; 20: 402-407
10. de Boer A S, Geubbels E L, Wille J and Mintjes de Groot A J. Risk assessment for surgical site infections following total hip and total knee prostheses, J Chemother 2001; 13: 42-47
11. Ercole F, Chianca T. Surgical wound infection in patients treated with hip arthroplasty. Rev Lat Am Enfermagem 2002; 10: 157-165
12. Eveillard M, Mertl P, Canarelli B. Risk of deep infection in first-intention total hip replacement. Evaluation concerning a continuous series of 790 cases, Presse Med 2001; 30: 1868-1875
13. Fletcher N, Sofianos D, Berkes M B, Obremskey W T. Prevention of Perioperative Infection J. Bone Joint Surg (Am) 2007; 89: 1605-1618
14. Guinto C H, Bottone E J, Raffalli J T, Montecalvo M A, Wormser G P. Evaluation of dedicated stethoscopes as a potential source of nosocomial pathogens. Am J Infect Control 2002; 30: 499-502.
15. Husni R N, Goldstein L S, Arroliga A C, Hall G S, Fatica C, Stoller J K and Gordon S M. Risk factors for an outbreak of multidrug resistant acinetobacter nosocomial pneumonia among intubated patients. Chest 1999; 115: 1378-1382
16. Kaminski A, Kammler J, Wick M, Muhr G, Kutscha-Lissberg F. Transmission of methicillin-resistant Staphylococcus aureus among hospital staff in a german trauma centre. A problem without a current solution. J. Bone Joint Surg (Br) 2007; 89 :642-645
17. Leone J M, Hanssen A D. Management of Infection at the Site of a Total Knee Arthroplasty J. Bone Joint Surg (Am) 2005; 87: 2335-2348
18. Mauerhan D R, Nelson C L, Smith D L, Fitzgerald R H Jr, Slama T G, Petty R W, Jones R E, Evans R P. Prophylaxis against infection in total joint arthroplasty. One day of cefuroxime compared with three days of cefazolin. J Bone Joint Surg (Am) 1994; 76: 39-45.
19. Rourke C, Bates C, Read R C. Poor hospital infection control practice in venepuncture and use of tourniquets. J Hosp Infec 2001; 49: 59-61.
20. Laufman H, Siegel J D, Edberg S C. Moist bacterial strike-through of surgical materials: Confirmatory tests. Ann Surgery 1979; 189: 68-74.
21. Loh W, Ng V, Holton J. Bacterial flora on the white coats of medical students. J Hosp Infect 2000; 45 (1): 65-68
22. Papavasiliou A V, Isaac D L, Marimuthu R, Skyrme A, Armitage A. Infection in knee replacements after previous injection of intra-articular steroid. J Bone Joint Surg (Br) 2006; 88: 321-323
23. Periti P, Mini E, Mosconi G. Antimicrobial prophylaxis in orthopaedic surgery: The role of teicoplanin. J Antimicrob Chemother 1998; 41: 329-340
24. Schollin-Borg M, Michaëlsson K, Rahme H. Presentation, outcome, and cause of septic arthritis after anterior cruciate ligament reconstruction: A case control study. Arthoscopy 2003; 19 (9): 941-947
25. Sohn A H, Parvez F, Vu T. Prevalence of surgical site infections in a large tertiary-care hospital, Ho Chi Minh City, Vietnam. Infect Control Hosp Epidemiol 2002); 23: 382-387
26. Walker N, Gupta R, Cheesbrough J. Blood pressure cuffs: Friend or foe? J Hosp Infect 2006; 63: 167-169
27. Whitehouse J D, Friedman D, Kirkland K B, Richardson W J , Sexton D J. The impact of surgical site infections following orthopaedic surgery at a community hospital and a university hospital: Adverse quality of life, excess length of stay and extra cost. Infect Control Hosp Epidemiol 2002; 23: 183-188
28. Wilson M G, Kelley K, Thornhill T S. Infection as a complication of total knee-replacement arthroplasty. Risk factors and treatment in sixty-seven cases. J. Bone Joint Surg (Am) 1990; 72: 878-883
29. Yun H C, Branstetter J G, Murray C K. Osteomyelitis in military personnel wounded in Iraq and Afghanistan. J Trauma 2008; 64: 163-168