- Discussion:
- risk factors for total joint infections
- diabetic - sugar - control: (for prevention of infection)
- preoperative blood glucose should be less than 125 and postoperative glucose should be less than 200;
- ref: Preoperative hyperglycemia predicts infected total knee replacement.
- pre-operative anemia: (anemia work up labs)
- need to keep Hgb above 12 in females and above 13 in males prior to surgery;
- references:
- Preoperative Anemia in Total Joint Arthroplasty: Is it Associated with Periprosthetic Joint Infection?
- Patient-related risk factors for joint infection and postoperative mortality following total hip arthroplasty in Medicare patients.
- nasal MRSA / MSSA Screening: (CRW editorial page 18-19)
- preoperative nasal swabs should be mandatory in all patients, and elective surgical patients should be decolonized prior to admission;
- decolonization methods:
- bactroban cream - patient information, bactroban for MDs, bactroban maker
- bacitracin - patients
- chlorohexidene
- references:
- Selective use of intranasal mupirocin and chlorhexidine bathing and the incidence of methicillin-resistant Staphylococcus aureus colonization and infection among intensive care unit patients.
- The role of MRSA screening in joint-replacement surgery.
- Methicillin-resistant Staphylococcus aureus on orthopaedic wards: incidence, spread, mortality, cost and control.
- A Preoperative Decolonization Protocol for Staphylococcus aureus Prevents Orthopaedic Infections.
- Staphylococcus aureus Nasal Colonization in Preoperative Orthopaedic Outpatients.
- Preventing surgical-site infections in nasal carriers of Staphylococcus aureus.
- Minimizing Surgical-Site Infections
- Patient Experience With Mupirocin or Povidone-Iodine Nasal Decolonization
- Smoking attenuates wound inflammation and proliferation while smoking cessation restores inflammation but not proliferation.
- Vitamin D deficiency? (see vitamin D discussion)
- references:
- Scientists Find Why 'Sunshine' Vitamin D Is Crucial
- The antibiotic vitamin: deficiency in vitamin D may predispose people to infection
- Vitamin D Deficiency Study Raises New Questions About Disease and Supplements
- Vitamin D deficiency in patients with osteoarthritis undergoing total hip replacement: a cause for concern?
- risk factors for total joint infections
- diabetic - sugar - control: (for prevention of infection)
- preoperative blood glucose should be less than 125 and postoperative glucose should be less than 200;
- ref: Preoperative hyperglycemia predicts infected total knee replacement.
- pre-operative anemia: (anemia work up labs)
- need to keep Hgb above 12 in females and above 13 in males prior to surgery;
- references:
- Preoperative Anemia in Total Joint Arthroplasty: Is it Associated with Periprosthetic Joint Infection?
- Patient-related risk factors for joint infection and postoperative mortality following total hip arthroplasty in Medicare patients.
- nasal MRSA / MSSA Screening: (CRW editorial page 18-19)
- preoperative nasal swabs should be mandatory in all patients, and elective surgical patients should be decolonized prior to admission;
- decolonization methods:
- bactroban cream - patient information, bactroban for MDs, bactroban maker
- bacitracin - patients
- chlorohexidene
- references:
- Selective use of intranasal mupirocin and chlorhexidine bathing and the incidence of methicillin-resistant Staphylococcus aureus colonization and infection among intensive care unit patients.
- The role of MRSA screening in joint-replacement surgery.
- Methicillin-resistant Staphylococcus aureus on orthopaedic wards: incidence, spread, mortality, cost and control.
- A Preoperative Decolonization Protocol for Staphylococcus aureus Prevents Orthopaedic Infections.
- Staphylococcus aureus Nasal Colonization in Preoperative Orthopaedic Outpatients.
- Preventing surgical-site infections in nasal carriers of Staphylococcus aureus.
- Minimizing Surgical-Site Infections
- Patient Experience With Mupirocin or Povidone-Iodine Nasal Decolonization
- Smoking Cessation:
- Smoking attenuates wound inflammation and proliferation while smoking cessation restores inflammation but not proliferation.
- Vitamin D deficiency? (see vitamin D discussion)
- references:
- Scientists Find Why 'Sunshine' Vitamin D Is Crucial
- The antibiotic vitamin: deficiency in vitamin D may predispose people to infection
- Vitamin D Deficiency Study Raises New Questions About Disease and Supplements
- Vitamin D deficiency in patients with osteoarthritis undergoing total hip replacement: a cause for concern?
- Preadmission Chlorohexidene Wash:
- Advance pre-operative chlorhexidine reduces the incidence of surgical site infections in knee arthroplasty.
- Effect of Daily Chlorhexidine Bathing on Hospital-Acquired Infection
- Seasonality of Infection Rates After Total Joint Arthroplasty
- Skin preparation before hip replacement in emergency setting versus elective scheduled arthroplasty: bacteriological comparative analysis.