Surveillance and management strategies to reduce Surgical Site Infection (SSI) in hip and knee joints arthroplasty at a tertiary arthroplasty Unit

  • Usman Ahmed Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
  • Shakir Hussain Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
  • Shahbaz Malik Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
  • Fabian Wong Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
  • Sarah Mimmack Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
  • Nia Reeves Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
  • Andrew Pearson Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
  • David Dunlop Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, United Kingdom

Abstract

Superficial surgical site infection is recognised as a risk factor for deep joint infection in arthroplasty. Deep joint infections cause significant morbidity, adversely affecting a patient’s quality of life and are expensive to manage. Since the advent of arthroplasty there has been a drive towards reducing infection rates and managing risk. Our institution has adopted several strategies to improve our superficial surgical site infection rate including the development of BIU (Bone infection unit) a dedicated infection service, a patient hotline and adjustments to our surgical techniques (utilisation of 2% chlorhexadine for preparation of the skin, special wound protection Aquacel™ dressings, iodine impregnated drapes, and antimicrobial sutures). A review of infection rates before and after implementation of our strategy demonstrates a reported drop in superficial surgical site infection from 6.7% to 3.3%.

Published
2018-12-26
How to Cite
AHMED, Usman et al. Surveillance and management strategies to reduce Surgical Site Infection (SSI) in hip and knee joints arthroplasty at a tertiary arthroplasty Unit. Journal of Orthoplastic Surgery, [S.l.], v. 2, p. 49-54, dec. 2018. ISSN 2631-7982. Available at: <http://journaloforthoplasticsurgery.com/index.php/JOPS/article/view/26>. Date accessed: 19 feb. 2019.
Section
Articles