Surgical wound irrigation: A call for evidence-based standardization of practice

American Journal of Infection Control

Volumn 42, Issue 5, 2014, Pages 525-529

  Barnes, Sue ^a   Spencer, Maureen ^b   Graham, Denise ^c   Johnson, Helen Boehm ^d  

^a Program Offices   (United States)

^b UHS of Delaware Inc   (United States)

^c DDG Associ   (United States)

^d Independent Medical Writer   (United States)

Author keywords

Infection control; Infection prevention; Surgical irrigation; Surgical site infection

Indexed keywords

BACITRACIN; BENZALKONIUM; BENZALKONIUM CHLORIDE; CHLORHEXIDINE GLUCONATE; HYDROGEN PEROXIDE; HYPOCHLORITE SODIUM; NEOMYCIN; POVIDONE IODINE; SOAP; SODIUM CHLORIDE; STERILE WATER; VANCOMYCIN;

AIRBORNE INFECTION; ANTIBIOTIC RESISTANCE; ARTICLE; BACTERIAL LOAD; BACTERIUM CONTAMINATION; CAUTERIZATION; CLINICAL PRACTICE; DEBRIDEMENT; EVIDENCE BASED PRACTICE; FOOD AND DRUG ADMINISTRATION; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTHCARE ASSOCIATED INFECTION; HUMAN; HYPERBARISM; HYPOBARISM; INFECTION PREVENTION; INTRAOPERATIVE PERIOD; OUTCOME ASSESSMENT; PRACTICE GUIDELINE; RISK REDUCTION; STANDARDIZATION; SURGICAL INFECTION; SURGICAL SMOKE; SURGICAL WOUND; WOUND CLOSURE; WOUND INFECTION; WOUND IRRIGATION; CLINICAL TRIAL (TOPIC); LAVAGE; PROCEDURES; STANDARDS; SURGICAL WOUND INFECTION; WOUNDS AND INJURIES;

CLINICAL TRIALS AS TOPIC; HUMANS; SURGICAL WOUND INFECTION; THERAPEUTIC IRRIGATION; WOUNDS AND INJURIES;

EID: 84899501513     PISSN: 01966553     EISSN: 15273296     Source Type: Journal    
DOI: 10.1016/j.ajic.2014.01.012     Document Type: Article

References (49)

1. D.J. Anderson, K.S. Kaye, D. Classen, K.M. Arias, K. Podgorny, and H. Burstin et al. Strategies to prevent surgical site infections in acute care hospitals Infect Control Hosp Epidemiol 29 2008 551 561
2. P.W. Stone Economic burden of healthcare-associated infections: an American perspective Expert Rev Pharmacoeconomics Outcomes Res 9 2009 417 422
3. P.M. Dohmen Economic burden of surgical site infections in cardiac surgery J Med Microb Diagn 2 2013 e120
4. D. Fry Fifty ways to cause surgical site infections Surg Infect 12 2011 497 500
5. J.F. Burke The effective period of preventive antibiotic action in experimental incisions and dermal lesions Surgery 50 1961 161 168
6. J.T. DiPiro, R. Cheung, T.A. Bowden, and J.A. Mansberger Single dose systemic antibiotic prophylaxis of surgical wound infections Am J Surg 152 1986 552 559
7. C.E. Edmiston, B. Bruden, M.C. Rucinski, C. Henen, M.B. Graham, and B.L. Lewis Reducing the risk of surgical site infections: does chlorhexidine gluconate provide a risk reduction benefit? Am J Infect Control 41 2013 549 555
8. V.R. Tubaki, S. Rajasekaran, and A.P. Shetty Effects of using intravenous antibiotic only versus local intrawound vancomycin antibiotic powder application in addition to intravenous antibiotics on postoperative infection in spine surgery in 907 patients Spine 38 2013 2149 2155
9. Greco G, Shi W, Michler R, Blackstone E, Kron I, Moquete E, et al. The economic impact of healthcare associated infections in cardiac surgery. 2013. Available from: http://www.abstractsonline.com/Plan/ViewAbstract.aspx?sKey= b9193dbe-c752-450f-9b49-f41fdf2be1c0&cKey=8fc06889-f397-4701-b7df- b7ae743b307f&mKey=951e351e-429c-4b2e-84d0-8da73b00de45. Accessed December 30, 2013.
10. R.B. Prucz, S.R. Sullivan, and M.B. Klein Acute wound care. ACS surgery: principles and practice 2012 Decker Intellectual Properties Ontario, Canada
11. J. Jagger, M. Bentley, and P. Tereskerz Patterns and prevention of blood exposure in operating room personnel: a multi-center study Adv Exp Prev 3 1998 61 71
12. A. Mohebati, J.M. Davis, and D. Fry Current risks of occupational blood-borne viral infection Surg Infect 11 2010 1 7
13. D.E. Fry The ABC's of hepatitis. Advances in surgery Vol 33 1999 Mosby, Inc Maryland Heights [MO]
14. E.M. Beltrami, I.T. Williams, C.N. Shapiro, and M.E. Chamberland Risk and management of blood-borne infections in health care workers Clin Microbiol Rev 13 2000 385 407
15. P. Gioannini, A. Sinicco, G. Cariti, A. Lucchini, G. Paggi, and O. Giachino HIV infection acquired by a nurse Eur J Epidemiol 4 1988 119 120
16. S. Hosoglu, M.K. Celen, S. Akalin, M.F. Geyik, Y. Soyoral, and I.H. Kara Transmission of hepatitis C by blood splash into conjunctiva in a nurse Am J Infect Control 31 2003 502 504
17. M. Sartorti, G. La Terra, M. Aglietta, A. Manzin, C. Navino, and G. Verzetti Transmission of hepatitis C via blood splash into conjunctiva Scand J Infect Dis 25 1993 270 271
18. J.O. Anglen Wound irrigation in musculoskeletal injury J Am Acad Orthop Surg 9 2001 219 226
19. Hays EP. Wound care: from door to discharge. Proceedings of the Boston Scientific Assembly; October 6, 2009; Boston, MA.
20. Gabriel A, Schraga E, Windle ML. Wound irrigation. 2011. Available from: www.emedicine.medscape.com/article/1895071. Accessed July 20, 2013.
21. J. Madden, R.F. Edlich, R. Schauerhamer, M. Prusak, J. Borner, and O.H. Wangensteen Application of principles of fluid dynamics to surgical wound irrigation Curr Topics Surg Res 3 1971 85 93
22. G.T. Rodeheaver, D. Peltry, J.G. Thacker, M.T. Edgarton, and R.F. Edlich Wound cleansing by high pressure irrigation Surg Gynecol Obstet 141 1975 357 362
23. L.L. Maragakis, S.E. Cosgrove, X.E. Song, D. Kim, P. Rosenbaum, and N. Ciesla et al. An outbreak of multi-drug resistant Acinetobacter baumannii associated with pulsatile lavage wound treatment JAMA 292 2004 3006 3011
24. T. Kalteis, N. Lehn, H.J. Schroeder, T. Schubert, S. Zysk, and M. Handel et al. Contaminant seeding in bone by different irrigation methods: an experimental study J Orthop Trauma 19 2005 591 596
25. C.D. Chisholm, W.H. Cordell, K. Rogers, and J.R. Word Comparison of a new pressurized saline canister versus syringe irrigation for laceration cleansing in the emergency department Ann Emerg Med 21 1992 1364 1367
26. R.L. Lammers, D.L. Hudson, and M.E. Seaman Predictors of traumatic wound infection with a neural network-derived decision model Am J Emerg Med 21 2003 1 7
27. Business Wire (Internet). Survey conducted at AORN congress reveals need for new and better surgical site infection prevention strategies; c2013 [updated 2013 March 11]. Available from: http://www.businesswire.com/news/home/ 20130311005412/en/Survey-Conducted-AORN-Congress-Reveals-Surgical-Site. Accessed September 27, 2013.
28. CDC. Recommendations for preventing the spread of vancomycin resistance: recommendations of the Hospital Infection Control Practices Advisory Committee (HICPAC); September 22, 1995/44 (RR12); 1-13. Available from: http://www.cdc.gov/mmwr/PDF/RR/RR4412.PDF. Accessed July 10, 2013.
29. L.K. Golightly, and T. Branigan Surgical antibiotic irrigations Hosp Pharm 24 1989 116 119
30. R.M. Roth, R.A. Gleckman, N.M. Gantz, and N. Kelly Antibiotic irrigations: a plea for controlled clinical trials Pharmacotherapy 5 1985 222 227
31. M. Michels, and W.A. Aggers Prophylactic use of topical antibiotic irrigation for clean surgical wounds Gundersen Lutheran Med J 2 2003 31 33
32. D.J. Crowley, N.K. Kanakaris, and P.V. Giammoudis Irrigation of the wounds in open fractures J Bone Joint Surg 89B 2007 580 585
33. L. Koyonos, B. Zmistowski, C.J. Della-Valle, and J. Parvizi Infection control rate of irrigation and debridement of periprosthetic joint infection Clin Orthop Relat Res 469 2011 3043 3048
34. S. Damm Intraoperative anaphylaxis associated with bacitracin irrigation Am J Health-Syst Pharm 68 2011 323 327
35. US Food and Drug Administration. Silver Spring [MD]: Trial alcohol prep pads, alcohol swabs, and alcohol swabsticks: recall due to potential microbial contamination; c2011 [updated 2011 June 15]. Available from: http://www.fda.gov/Safety/MedWatch/SafetyInformation/ SafetyAlertsforHumanMedicalProducts/ucm239319.htm. Accessed September 26, 2013.
36. Centers for Disease Control and Prevention. Atlanta [GA]: Multistate fungal meningitis outbreak investigation; c2012 [updated 2013 September 6]. Available from: http://www.cdc.gov/hai/outbreaks/meningitis.html. Accessed September 26, 2013.
37. T. Burd, B.P. Conroy, S.C. Meyer, and W.C. Allen The effects of chlorhexidine irrigation solution on contaminated bone-tendon allografts Am J Sports Med 28 2000 241 244
38. B.D. Owens, D.W. White, and J.C. Wenke Comparison of irrigation solutions and devices in a contaminated musculoskeletal wound survival model J Bone Joint Surg Am 91 2009 92 98
39. B.B. Tarbox, B.P. Conroy, E.S. Malicky, F.W. Moussa, D.E. Hockman, and J.O. Anglen et al. Benzalkonium chloride: a potential disinfecting irrigation solution for orthopedic wounds Clin Orthop 346 1998 255 261
40. B.P. Conroy, J.O. Anglen, and W.A. Simpson et al. Comparison of castile soap, benzalkonium chloride, and bacitracin as irrigation solutions for complex contaminated wounds J Orthop Trauma 13 1999 332 337
41. Daily Med (2011). Povidone iodine; c2011. Available from: http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=095c47d5-9fe0-45ed-93eb- a2ac3961db59. Accessed September 27, 2013.
42. N. Fletcher, D. Sofianos, M.M. Berkes, and W.T. Obremskey Prevention of perioperative infection J Bone Joint Surg 89 2007 1605 1618
43. Edmiston CE, Seabrook GR, Cambria RA, Brown KR, Lewis BD, Sommers JR, et al. Molecular epidemiology of microbial contamination in the operating room environment: is there a risk for infection? Presented at the 62nd Annual Meeting of the Central Surgical Association, Tucson, AZ, March 10-12, 2005.
44. W. Whyte, R. Hodgson, and J. Tinkler The importance of airborne bacterial contamination of wounds J Hosp Infect 3 1982 123 135
45. O.M. Lidwell, E.J.L. Lowbury, W. Whyte, R. Blowers, S.J. Stanley, and D. Lowe Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates J Hosp Infect 4 1983 111 131
46. E. Alp, D. Bijl, R.P. Bleichrodt, B. Hansson, and A. Voss Surgical smoke and infection control J Hosp Infect 62 2006 1 5
47. A.R. Brown, G.J.S. Taylor, and P.J. Gregg Air contamination during skin preparation and draping in joint replacement surgery J Bone Joint Surg Br 78 1996 92 94
48. P.D. McGovern, M. Albrecht, K.G. Belani, C. Nachtsheim, P.F. Partington, I. Carluke, and M.R. Reed Forced-air warming and ultra-clean ventilation do not mix J Bone Joint Surg Br 93 2011 1537 1544
49. J.D. Tavitian, S.M. Ong, N.A. Taub, and G.J.S. Taylor Body-exhaust suit versus occlusive clothing J Bone Joint Surg Br 85 2003 490 494