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Archives of Orthopaedic and Trauma Surgery

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01-07-2019 | Joint Infection | Hip Arthroplasty

Contamination rate of the surgical gowns during total hip arthroplasty

Authors: Ianiv Klaber, Pablo Ruiz, Daniel Schweitzer, Maria Jesus Lira, Eduardo Botello, Aniela Wozniak

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2019

Abstract

Introduction

Surgical instrument contamination during total joint replacement is a matter of major concern. Available recommendations suggest changing suction tips, gloves and avoiding light handle manipulation during the procedure. There is a paucity of data regarding surgical gown contamination. The aim of the present study was to evaluate the contamination rate of surgical gowns (SGs) during total hip arthroplasty (THA) and secondarily compare it with other orthopedic procedures.

Materials and methods

One hundred and forty surgical gowns (from 70 surgeries) were screened for bacterial contamination using thioglycolate (a high-sensitivity culture broth). The THA contamination rate was compared with those of knee and spine procedures. Controls were obtained at the beginning of every surgery and from the culture broth. The procedure’s duration and the level of training of the surgeon were evaluated as potential risk factors for contamination.

Results

Bacterial contamination was identified on 12% of surgical gowns (22% of surgical procedures). The contamination rate during THA was 4.1% (2% in primary THA and 8.3% in revisions) vs 21.67% during other surgeries (spine and knee) (OR 6.15, p = 0.012). There were no contaminated SGs during THAs performed in ≤ 2 h (0/33 SGs) vs 7.5% (3/40) for THAs that took ≥ 2 h (p = 0.25).

Conclusion

There was a high rate of SG contamination during orthopedic procedures that was higher during non-arthroplasty procedures and prolonged THAs. There were no contaminated surgical gowns in THAs under 120 min, efforts should point keeping primary THAs under this cutoff time. As a general recommendation, SGs should be changed every time there is concern about potential contamination.

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Title: Contamination rate of the surgical gowns during total hip arthroplasty
Authors: Ianiv Klaber
Pablo Ruiz
Daniel Schweitzer
Maria Jesus Lira
Eduardo Botello
Aniela Wozniak
Publication date: 01-07-2019
Publisher: Springer Berlin Heidelberg
Keywords: Joint Infection
Hip-TEP
Hip-TEP
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2019
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-019-03211-w

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Contamination rate of the surgical gowns during total hip arthroplasty

Abstract

Introduction

Materials and methods

Results

Conclusion

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Abstract

Introduction

Materials and methods

Results

Conclusion

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