Clean Orthopaedic Surgeries
Conditions
Interventions
None listed
Sponsors
Surgical Site Infection Prevention Project(SSIPP) workgroup meeting
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Consecutive patients undergoing open reduction and internal fixation of closed fractures(ORIF), spinal surgeries, and joint surgeries in 5 hospitals.
Exclusion criteria
Exclusion criteria: 1)patients who had received any anti-microbial agents during the week before surgery, 2)surgery involving the infected site, 3)patients with skin trouble in surgical site, 4)hand surgery, 5)foot surgery, 6)arthroscopic surgery, 7)patients with renal failure (serum creatinine level of more than 1.5 microgram/dl at admission), 8)patients receiving hemodialysis, 9)operation longer than 6 hours, 10)open fracture, 11)nonunion, 12)peripheral nerve surgery, 13)tuberculous spondylitis, 14)antimicrobial prophylaxis other than cefazolin, 15)re-operation, 16)external fixation, 17)percutaneous pinning, 18)patients who are pregnant, 19)patients less than 20 years old, 20)patients with allergy to the beta-lactam antibiotics, 21)patients of iodine hypersensitivity, 22)patients receiving multiple operations in the same day, 23)intraoperative radiotherapy 24)operation with unexpected dirty procedures.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of bacterial wound contamination increases after normal saline irrigation in clean orthopaedic surgeries. | — |
Secondary
| Measure | Time frame |
|---|---|
| (1)Characteristics of the isolated bacteria. (2)Incidence of MRSA contamination. (3)Risk factors of bacterial wound contamination. | — |
Countries
Japan
Contacts
Public ContactIga Toru
Tokyo Metropolitan Tama Medical Center Department of Orthopaedic Surgery
Outcome results
None listed