Pre-operative antiseptic shower and bath policy decreases the rate of S. aureus and methicillin-resistant S. aureus surgical site infections in patients undergoing joint arthroplasty

Surgical Infections

Volumn 16, Issue 2, 2015, Pages 124-132

  Colling, Kristin ^a   Statz, Catherine ^a   Glover, James ^a   Banton, Kaysie ^a   Beilman, Greg ^a  

^a UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHLORHEXIDINE; CLINDAMYCIN; TOPICAL ANTIINFECTIVE AGENT;

ADOLESCENT; ADULT; AGED; ARTHROPLASTY; ARTICLE; CHILD; FEMALE; GENERAL ANESTHESIA; HIP ARTHROPLASTY; HUMAN; KNEE ARTHROPLASTY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS INFECTION; PREOPERATIVE CARE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS INFECTION; SURGICAL INFECTION; SURGICAL RISK; ADVERSE EFFECTS; BATH; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS; MIDDLE AGED; STAPHYLOCOCCAL INFECTIONS; STATISTICS AND NUMERICAL DATA; SURGICAL WOUND INFECTION; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTI-INFECTIVE AGENTS, LOCAL; ARTHROPLASTY; BATHS; CHILD; FEMALE; HUMANS; MALE; METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS; MIDDLE AGED; RETROSPECTIVE STUDIES; STAPHYLOCOCCAL INFECTIONS; STAPHYLOCOCCUS AUREUS; SURGICAL WOUND INFECTION; YOUNG ADULT;

EID: 84926622701     PISSN: 10962964     EISSN: 15578674     Source Type: Journal    
DOI: 10.1089/sur.2013.160     Document Type: Article

References (30)

1. Kim S. Changes in surgical loads and economic burden of hip and knee replacements in the US: 1997-2004. Arthritis rheumatism 2008; 59: 481-488
2. Jones CA, Beaupre L, Johnston DWC, Suarez Almazor M. Total joint arthroplasties: current concepts of patient outcomes after surgery. Clin Geriatr Med 2005; 21: 527-41, vi
3. Kurtz S, Lau E, Watson H, et al. Economic burden of periprosthetic joint infection in the United States. J Arthroplasty 2012; 27: 61-5.e1
4. Poultsides L, Ma Y, Della Valle A, et al. In-hospital surgical site infections after primary hip and knee arthroplasty-incidence and risk factors. J Arthroplasty 2013; 28: 385-389
5. Kurtz S, Lau E, Schmier J, Ong K, Zhao K, Parvizi J. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty 2008; 23: 984-991
6. Poultsides L, Liaropoulos L, Malizos K. The socioeconomic impact of musculoskeletal infections. J Bone Joint Surg Am. 2010; 92: e13-e13
7. Alicia I. Hidron M, Jonathan R. Edwards M, Jean Patel P, et al. NHSN Annual update: antimicrobial-resistant pathogens associated with healthcare-Associated infections: annual summary of data reported to the national healthcare safety network at the centers for disease control and prevention, 2006-2007. Infect Control Hosp Epidemiol 2008 November; 29: 996-1011
8. Weidenmaier C, Goerke C, Wolz C. Staphylococcus aureus determinants for nasal colonization. Trends Microbiol 2012; 20: 243-250
9. Wertheim HFL, Melles D, Vos M, et al. The role of nasal carriage in Staphylococcus aureus infections. Lancet Infect Dis 2005; 5: 751-762
10. Lowy FD. Staphylococcus aureus Infections. N Engl J Med 1998 08/20; 2013/03; 339: 520-532
11. Cogen AL, Nizet V, Gallo RL. Skin microbiota: a source of disease or defence? Br J Dermatol 2008; 158: 442-455
12. Del Pozo JL, del Pozo. The challenge of treating biofilmassociated bacterial infections. Clinical pharmacology therapeutics 2007; 82: 204
13. Thompson P, Houston S. Decreasing methicillin-resistant Staphylococcus aureus surgical site infections with chlorhexidine and mupirocin. Am J Infect Control. 2013 Jul; 41: 629-33
14. Engemann J, Carmeli Y, Cosgrove S, et al. Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus aureus surgical site infection. Clin Infect Dis 2003; 36: 592-598
15. Edmiston C. Evidence for using chlorhexidine gluconate preoperative cleansing to reduce the risk of surgical site infection. AORN J 2010; 92: 509-18
16. Mangram AJ, Horan TC, Pearson ML, et al. Guideline for Prevention of Surgical Site Infection, 1999. U.S. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999; 27: 97-132
17. Bratzler D, Hunt D. The surgical infection prevention and surgical care improvement projects: national initiatives to improve outcomes for patients having surgery. Clin Infect Dis 2006; 43: 322-330
18. Kapadia B, Johnson A, Daley J, et al. Pre-Admission cutaneous chlorhexidine preparation reduces surgical site infections in total hip arthroplasty. J Arthroplasty 2013; 28: 490-493
19. Rao N, Cannella B, Crossett L, et al. Preoperative screening/decolonization for Staphylococcus aureus to prevent orthopedic surgical site infection: prospective cohort study with 2-year follow-up. J Arthroplasty 2011; 26: 1501-1507
20. Johnson A, Kapadia B, Daley J, et al. Chlorhexidine reduces infections in knee arthroplasty. J Knee Surg. 2013 Jun; 26: 213-8
21. Climo M, Yokoe D, Warren D, et al. Effect of daily chlorhexidine bathing on hospital-Acquired infection. N Engl J Med 2013; 368: 533-542
22. Webster J, Osborne S. Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database Syst Rev 2006: CD004985-CD004985
23. Urquhart D, Hanna F, Brennan S, et al. Incidence and risk factors for deep surgical site infection after primary total hip arthroplasty: a systematic review. J Arthroplasty 2010; 25: 1216-22.e1
24. Namba RS, Inacio MCS, Paxton EW. Risk factors associated with surgical site infection in 30, 491 primary total hip replacements. J Bone Joint Surg Br. 2012; 94: 1330-1338
25. Chang C, Lin H. Anesthetic management and surgical site infections in total hip or knee replacement: a populationbased study. Anesthesiology 2010; 113: 279-284
26. Karki S, Cheng AC. Impact of non-rinse skin cleansing with chlorhexidine gluconate on prevention of healthcareassociated infections and colonization with multi-resistant organisms: a systematic review. J Hosp Infect 2012; 82: 71-84
27. Climo M, Sepkowitz K, Zuccotti G, et al. The effect of daily bathing with chlorhexidine on the acquisition of methicillinresistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and healthcare-Associated bloodstream infections: results of a quasi-experimental multicenter trial. Crit Care Med 2009; 37: 1858-1865
28. Hadley S, Immerman I, Hutzler L, et al. Staphylococcus aureus decolonization protocol decreases surgical site infections for total joint replacement. Arthritis; 2010: 924518-924518
29. Slover J, Haas J, Quirno M, et al. Cost-effectiveness of a Staphylococcus aureus screening and decolonization program for high-risk orthopedic patients. J Arthroplasty 2011; 26: 360-365
30. Kapadia BH, Johnson AJ, Issa K, Mont MA. Economic evaluation of chlorhexidine cloths on healthcare costs due to surgical site infections following total knee arthroplasty. J Arthroplasty. 2013 Aug; 28: 1061-5