Abstract：
BACKGROUND:Numerous strategies are available to prevent surgical site infections in hip arthroplasty, but there is no consensus on which might be the best. This study examined infection prevention strategies currently recommended for patients undergoing hip arthroplasty. METHODS:Four clinical guidelines on infection prevention/orthopedics were reviewed. Infection control practitioners, infectious disease physicians, and orthopedic surgeons were consulted through structured interviews and an online survey. Strategies were classified as "highly important" if they were recommended by at least one guideline and ranked as significantly or critically important by ≥75% of the experts. RESULTS:The guideline review yielded 28 infection prevention measures, with 7 identified by experts as being highly important in this context: antibiotic prophylaxis, antiseptic skin preparation of patients, hand/forearm antisepsis by surgical staff, sterile gowns/surgical attire, ultraclean/laminar air operating theatres, antibiotic-impregnated cement, and surveillance. Controversial measures included antibiotic-impregnated cement and, considering recent literature, laminar air operating theatres. CONCLUSIONS:Some of these measures may already be accepted as routine clinical practice, whereas others are controversial. Whether these practices should be continued for this patient group will be informed by modeling the cost-effectiveness of infection prevention strategies. This will allow predictions of long-term health and cost outcomes and thus inform decisions on how to best use scarce health care resources for infection control.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Merollini KM,Zheng H,Graves Ndoi
10.1016/j.ajic.2012.03.027subject
Has Abstractpub_date
2013-03-01 00:00:00pages
221-6issue
3eissn
0196-6553issn
1527-3296pii
S0196-6553(12)00786-9journal_volume
41pub_type
杂志文章,评审abstract：BACKGROUND:The aim of this study was to determine the prevalence of health care-associated infections (HAI) in our university hospitals (UH) and to delineate the risk factors associated with HAI. METHODS:We conducted a cross-sectional study in the 2 UH of Sfax, Tunisia on July 2017, including all patients hospitalized...
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更新日期：2019-08-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2005-12-01 00:00:00
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更新日期：2016-03-01 00:00:00
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更新日期：2014-07-01 00:00:00
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更新日期：2021-02-01 00:00:00
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doi：10.1016/j.ajic.2012.02.037
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更新日期：2014-05-01 00:00:00
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更新日期：2008-02-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2018-05-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1016/j.ajic.2020.02.008
更新日期：2020-10-01 00:00:00
