Reducing surgical site infection in arthroplasty of the lower limb

Author:

Johnson R.1,Jameson S. S.1,Sanders R. D.2,Sargant N. J.3,Muller S. D.1,Meek R. M. D.4,Reed M. R.1

Affiliation:

1. Northumbria Healthcare NHS Foundation Trust, Department of Orthopaedics, Woodhorn Lane, Ashington, Northumberland NE63 9JJ, UK.

2. Chelsea and Westminster Hospital, Department of Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, Fulham Road, London SW10 9NH, UK.

3. Basingstoke & North Hampshire Foundation NHS Trust, Department of Haematology, Aldermaston Road, Basingstoke, Hampshire RG24 9NA, UK.

4. Southern General Hospital, Department of Orthopaedics, 1345 Govan Road, Glasgow G51 4TF, UK.

Abstract

Objectives To review the current best surgical practice and detail a multi-disciplinary approach that could further reduce joint replacement infection. Methods Review of relevant literature indexed in PubMed. Results Surgical site infection is a major complication following arthroplasty. Despite its rarity in contemporary orthopaedic practice, it remains difficult to treat and is costly in terms of both patient morbidity and long-term health care resources. Conclusions Emphasis on education of patients and all members of the health-care team and raising awareness in how to participate in preventative efforts is imperative.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Reference102 articles.

1. Health-Related Quality of Life in Total Hip and Total Knee Arthroplasty

2. Health Protection Agency. Sixth report of the mandatory surveillance of surgical site infection in orthopaedic surgery, 2011. http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1287147699571 (date last accessed 7 January 2013).

3. Treatment of Infections Associated with Surgical Implants

4. Early infection after hip fracture surgery

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