Operating room surveillance: A new approach in reducing hip and knee prosthetic wound infections

摘要: A prospective study of surgical wound infections (SWI) in hip prosthesis surgery and total knee replacements at two community hospitals with common staffs was begun May 1982. The rates SWI during the first 7 months for four orthopedic surgeons were 9% (3/32) 16.7% (3/18) replacement, 12% (6/50) overall. To reduce infections, each surgeon agreed to intraoperative surveillance (IOS) procedures (hip or replacement) by infection control nurse hospital. Significant IOS findings too many persons operating room (five nine persons), doors opened frequently (25 50 times), inconsistent use prophylactic antibiotics, excessive conversation. In January 1984, data recommendations shared surgeon, staff, anesthesia personnel. Subsequently, a statistically significant drop realized replacement (1/36 versus 5/36, p = 0.05) overall (3/73 14/116, 0.05). not (2/37 9/80, greater than 0.10). individualized communication effective reducing SWI.