A safer, less costly SSI prevention protocol-Universal versus targeted preoperative decolonization

Area of Science:

• Infectious Disease
• Orthopedic Surgery
• Public Health

Background:

• Surgical site infections (SSIs) following total joint replacement (TJR) pose significant risks to patients.
• SSIs increase patient morbidity and lead to substantial healthcare expenditures.
• Reducing SSIs is a critical goal in orthopedic surgery.

Purpose of the Study:

• To evaluate the effectiveness of universal preoperative decolonization in preventing SSIs after TJR.
• To assess the impact of this intervention on patient outcomes and healthcare costs.

Main Methods:

• Implementation of universal preoperative decolonization protocol in a hospital setting.
• Protocol involved alcohol-based nasal antiseptic and chlorhexidine bathing for patients undergoing TJR.
• Data collection on SSI rates, patient morbidity, and facility costs.

Main Results:

• Significant reduction in surgical site infection rates observed post-intervention.
• Associated decrease in patient morbidity linked to SSIs.
• Demonstrated cost savings for the healthcare facility.

Conclusions:

• Universal preoperative nasal and skin decolonization is an effective strategy to reduce SSIs in TJR.
• This approach improves patient outcomes and offers economic benefits.
• Widespread adoption of this protocol could enhance surgical safety and reduce healthcare burdens.