ARTHROPLASTY
2014 AAHS Annual Meeting : Prospective, Randomized, Blinded Study to Evaluate Two Surgical Skin Preparations in Reducing SSI after TJA
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2014;2(6):15581 patients undergoing total joint arthroplasty (TJA) were randomized to receive standard or repeat preoperative skin antisepsis, to determine if repeat skin antisepsis is a beneficial addition to standard skin preparation. Results indicated that repeat skin antisepsis before incise draping significantly reduced surgical site infections compared to standard antisepsis. There was no significant difference in skin blistering between groups.
学会報告
このACE報告は、学会発表または抄録の要約です。提供された情報により、バイアスのリスクや全体的な質の正確な評価を提供することには限界があります。臨床試験が進行中であったり、選択された結果が発表されている可能性があるため、結果を慎重に解釈してください。
なぜ今この研究が必要なのですか？
Surgical site infection (SSI) can be a devastating complication associated with total joint arthroplasty. This study tested whether or not a repeat skin antisepsis prior to the application of the incise drape reduced the incidence of SSI in patients who underwent total joint arthroplasty.
主な研究課題は何ですか？
Does repeat pre-operative skin antisepsis reduce the rate of surgical site infections following total joint arthroplasty?
重要な知見は？
- Incidence of SSI was significantly reduced in the repeat antisepsis group (0/284 were infected) compared to the control group (6/297 were infected) (p<0.0307).
- Skin blistering was lower, but not significantly lower, in the repeat antisepsis group (10/284 (3.52%)) compared to the control group (18/289 (6.23%)) within six weeks postoperatively (p=0.1745).
最も覚えておくべきことは？
Repeat skin antisepsis after surgical draping and before incise draping significantly reduced surgical site infection for patients undergoing total joint arthroplasty. Skin blistering did not differ significantly between groups.
それが私の患者ケアにどのように影響するか？
Based on the results of this study, it appears repeat skin antisepsis is a beneficial addition to standard skin preparation for patients undergoing total joint arthroplasty. Precautions must be taken due to the flammable nature of all skin preparations using alcohol.
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