Related Experiment Video
Updated: Apr 17, 2026

Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
[Prevention of periprosthetic joint infections : Not evidence-based strategies]
A Keshmiri1, G Maderbacher, C Baier
1Orthopädische Klinik der Universität Regensburg, Asklepios Klinikum, Bad Abbach, Deutschland, a.keshmiri@asklepios.com.
Background:
Surgical site infections are the most common nosocomial infections in orthopedic surgery. Strategies to prevent these infections are of enormous relevance.
Objectives:
Evidence-based procedures such as hand disinfection, prophylactic antibiotic application, hair removal with electric clippers, or preoperative treatment of Staphyloccus aureus are listed in national and international guidelines. Beside these measures, several scientifically not confirmed methods, e.g., the administration of antibiotic prophylaxis for several days or the usage of helmets during surgery, are still practiced. These measures are not evidence-based and should not be performed anymore.
Conclusion:
Only the consequent implementation of evidence-based procedures can help prevent surgical site infections.
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