General Assembly, Prevention, Operating Room - Surgical Field: Proceedings of International Consensus on Orthopedic Infections

Alsadaan, Maha; Alrumaih, Husam A.; Brown, Timothy S.; Burgo, Federico José; Cabo, Francisco Javier; Fillingham, Yale; Gambhir, A K; Giori, Nicholas J.; Goosen, Jon H. M.; Goswami, Karan; Hoekstra, Myrthe C.L.; Ilyas, Imran; Jahoda, D; Nelissen, Rob G H H; Petrie, Michael J.; Ravetti, Luciano; Saheed, Yakub Kayode; Smailys, Alfredas; Stučinskas, Justinas; Zeniauskas, L.

doi:10.1016/j.arth.2018.09.062

Cited by 4 publications

(5 citation statements)

References 31 publications

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“…The authors recommended not to place any implants in the splash basin or to return instruments from the splash basin to the surgical field 40 . In light of these concerns about the bacteria harbored by the fluid, the International Consensus on Orthopaedic Infections in 2018 recommended against the use of splash basins because of the potential risk of periprosthetic joint infection 41 . Nazal et al found that adding dilute betadine to the splash basin resulted in 0 positive cultures in 52 cases at the end of primary total joint arthroplasty cases compared with 47.9% in the control group 42 .…”

Section: Opening Surgical Instruments In the Ormentioning

confidence: 99%

The Surgical Instrument Sterilization Process

Land,

Dickerson,

Goldman

et al. 2023

JBJS Reviews

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Section: Opening Surgical Instruments In the Ormentioning

confidence: 99%

The Surgical Instrument Sterilization Process

Land,

Dickerson,

Goldman

et al. 2023

JBJS Reviews

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“…Suction tips can be colonized primarily in two ways. The first is through direct contact with a surgical wound or poor handling by surgical staff 18 and the second is through continuous airflow through the tip of the suction, creating turbulent flow and favoring the fixation of microorganisms at the site 1,[17][18][19] .…”

Section: How Is a Suction Tip Colonized?mentioning

confidence: 99%

“…Alsadaan, in the most recent infection consensus, recommended changing the suction tip after one hour of surgery to reduce the incidence of its contamination 18 .…”

Section: Colonization Prevention Strategiesmentioning

confidence: 99%

“…Thus, the periods with the greatest amount of airborne particles are avoided 22,23 . Next, suction is suspended during the operative act and is used only when aspiration is required in the operative field 18 . However, this also generates concerns as the material aspirated may backflow through the duct and generate contamination.…”

Section: Colonization Prevention Strategiesmentioning

confidence: 99%

“…The 2019 Infection Consensus recommends changing the suction tip after one hour of surgery 18 . However, this measure is only based on expert recommendations, and to date no studies have shown, with a sufficient level of evidence, whether suction tip colonization is directly related to SSI rates.…”

Section: Unanswered Questions About Catheter Colonizationmentioning

confidence: 99%

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Suction Tip Colonization during Orthopedic Surgery: A Review

Edery¹,

León-Ríos²,

Vargas³

et al. 2020

J Orthopedics & Orthopedic Surg

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Surgical site infections are clinically and epidemiologically critical in orthopedic surgery, as they lead to several complications affecting the quality of life of patients. Contamination may occur during the surgery, through instruments directly inserted into the wound acting as reservoirs for microorganisms. This study aimed to review the literature on suction tip colonization during orthopedic surgery, with an aim toward setting guidelines for its management during surgical procedures. Suction tips can be colonized primarily in two ways. The first is through direct contact with a surgical wound or poor handling by surgical staff and the second is through continuous airflow through the tip of the suction. Colonization rate between studies has decreased in the last years reporting in recent papers a 7.3% suction tips colonization rates in clean orthopedic. The most common germs isolated are S. epidermidis, S. aureus and E. cloacae. Suction tip colonization has a direct relationship with the duration of the surgical procedure, with a higher rate of colonization with longer surgeries. Multiple strategies have been proposed to reduce the risk of colonization of the suction tips used during a surgical procedure including systematically changing suction cannula after 1 hour of surgery or strategies to reduce active suction time. It is unclear if suction tip colonization is directly related to surgical site infection rates. Further studies are needed to corelate infection and colonization of the suction canula.

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