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Erschienen in: Current Reviews in Musculoskeletal Medicine 3/2018

16.06.2018 | Prosthetic Joint Infection (S Nodzo and N Frisch, section editors)

Centers for Disease Control and Prevention 2017 Guidelines for Prevention of Surgical Site Infections: Review and Relevant Recommendations

verfasst von: K. Keely Boyle, Sridhar Rachala, Scott R. Nodzo

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 3/2018

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Abstract

Purpose of Review

The associated patient morbidity and resource-intensive nature of managing surgical site infections (SSI) has focused attention toward not only improving treatment protocols but also enhancing preventative measures. The purpose of this review was to summarize the relevant updated CDC guidelines for the prevention of SSI that were released in 2017. The CDC recommends the integration of the guidelines for improvement in quality metrics, reportable outcomes, and patient safety.

Recent Findings

The updated guidelines include generalized recommendations for parenteral antimicrobial prophylaxis, non-parenteral antimicrobial prophylaxis, glycemic control, normothermia, oxygenation, and antiseptic prophylaxis. The arthroplasty section includes recommendations for blood transfusion, systemic immunosuppressive therapy, and antibiotics during drain use. There was low-quality evidence precluding recommendations for preoperative intra-articular corticosteroid injections, orthopedic surgical space suits, and biofilm management.

Summary

The recommendations provided throughout this review, including more recent guidelines from other organizations such as the AAOS and ACR, should assist clinicians in developing and/or refining surgical site prevention protocols for their patients undergoing total joint arthroplasty procedures.
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Metadaten
Titel
Centers for Disease Control and Prevention 2017 Guidelines for Prevention of Surgical Site Infections: Review and Relevant Recommendations
verfasst von
K. Keely Boyle
Sridhar Rachala
Scott R. Nodzo
Publikationsdatum
16.06.2018
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 3/2018
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-018-9498-8

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