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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 7/2016

01-07-2016 | CORR Insights

CORR Insights®: Does Preadmission Cutaneous Chlorhexidine Preparation Reduce Surgical Site Infections After Total Knee Arthroplasty?

Author: Charles M. Davis III, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 7/2016

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Excerpt

Periprosthetic infection remains one of the most severe and costly complications after total joint arthroplasty, and both the incidence and total number of patients with this problem are increasing [3]. By 2020, there will be an estimated 65,000 prosthetic joint infections annually, with an estimated hospital cost of USD 1.6 billion [3]. …
Literature
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Chlebicki MP, Safdar N, O’Horo JC, Maki DG.Preoperative chlorhexidine shower or bath for prevention of surgical site infection: a meta-analysis. Am J Infect Control. 2013;41:167–173.CrossRefPubMed
2.
Farber NJ, Chen AF, Bartsch SM, Feigel JL, Klatt BA. No infection reduction using chlorhexidine wipes in total joint arthroplasty. Clin Orthop Relat Res. 2013;471:3120-3125.CrossRefPubMedPubMedCentral
3.
Kurtz SM, Lau E, Watson H, Schmier JK, Parvizi J. Economic burden of periprosthetic joint infection in the United States. J Arthroplasty. 2012;27:61–65 e61.CrossRef
4.
Mahmud T, Lyons MC, Naudie DD, Macdonald SJ, McCalden RW. Assessing the gold standard: A review of 253 two-stage revisions for infected TKA. Clin Orthop Relat Res. 2012;470:2730–2736.CrossRefPubMedPubMedCentral
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Milstone AM, Passaretti CL, Perl TM. Chlorhexidine: expanding the armamentarium for infection control and prevention. Clin Infect Dis. 2008;46:274–281.CrossRefPubMed
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Webster J, Osborne S. Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database Syst Rev. 2015;2:CD004985.
Metadata
Title
CORR Insights®: Does Preadmission Cutaneous Chlorhexidine Preparation Reduce Surgical Site Infections After Total Knee Arthroplasty?
Author
Charles M. Davis III, MD, PhD
Publication date
01-07-2016
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 7/2016
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-4837-9

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