Risk Factors for Early Implant-Related Surgical Site Infection

Abstract

It is important to cross-check ASA score with co-morbidities to reduce early SSIs. Peri-operative optimisation and antibiotic prophylaxis should be administered prior to surgery. Appropriate modification of antibiotic prophylaxis should be considered.

Microbial Distribution and Antibiotic Susceptibility in Patients with Complicated Skin and Soft Tissue Infections of the Extremities in North-Eastern China

“…Small skin lesions in any anatomic area can develop into severe infections, generating cellulites, lymphangitis, abscesses or even necrotizing fasciitis when microbial aggression is increased. The hyperglycaemic state impairs neutrophil chemotaxis and phagocytosis, leading to weakened antibacterial defence [14]. Thus, patients with diabetes mellitus often have more complex bacterial colonies and are more likely to have mixed GPB and GNB infections.…”

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery

“…However, it is generally understood that the elbow is susceptible to infection owing to the lack of soft-tissue covering from skin to bone. 66,70,[72][73][74] Therefore, the surgeon must take care in every step of the surgical process including patient selection, aseptic surgical conditioning, and frozen sectioning of suspicious tissue before performing the implantation procedure to reduce or prevent the risk of infection. In the patient selection stage, the surgeon should be aware of the risk of high comorbidity with diabetes.…”

“…In the patient selection stage, the surgeon should be aware of the risk of high comorbidity with diabetes. 62,73,[75][76][77] Several studies have reported a strong correlation between infection and comorbidity with TEA. 61,66,73,78,79) Even after the surgery, preventing infection requires general control of the comorbidities.…”

CORR Insights®: What Orthopaedic Operating Room Surfaces Are Contaminated With Bioburden? A Study Using the ATP Bioluminescence Assay

“…The use of ATP testing may identify environmental surfaces that require additional cleaning prior to the next surgical case. Improved cleanliness of hospital surfaces can reduce the risk of nosocomial postoperative surgical infections [7,10]. Within orthopaedic surgery, where implantation of hardware is common, reducing the risk of environmental contamination is imperative.…”

“…In fact, the authors contend that if one were to compare the results of their study to the criteria set forth by the restaurant industry, surfaces such as the OR light handles, patient positioners, and the right side of the OR table headboard would not pass restaurant standards. Decreasing the risk of postoperative infections is a major focus of all hospitals and surgeons [7]. For example, the Surgical Care Improvement Project and the American Academy of Orthopaedic Surgeons both emphasize the importance of minimizing nosocomial orthopaedic infections [4,10].…”