title: Institution of The Steiros Algorithm(®) Outpatient Surgical Protocol reduced orthopedic surgical site infections (SSI) rates.
abstract: BACKGROUND
  Control of surgical site infections (SSI) is imperative for the safety of our patients. As orthopedic surgeons we strive to have the lowest infection rate possible for all our surgical procedures. this study evaluates the effects of a simple outpatient peri-operative patient cleaning protocol (The Steiros Algorithm(®) Outpatient Surgery Protocol) on SSI rates.
  
  
  METHODS
  We retrospectively reviewed the hospital's infection rate database for all procedures from July 2005 until February 2011 performed by one general orthopedic surgeon (PAW) within one hospital system. The Steiros Algorithm(®) Outpatient Surgery Protocol was instituted on January 1(st), 2009. We calculated and compared the deep and superficial SSI rate for orthopedic surgeries performed before and after the Outpatient Protocol was instituted. All patients had a minimum of one-year follow-up data. Lowest previously published estimated costs for SSI were used for a cost analysis ($17,708).
  
  
  RESULTS
  The July 1(st), 2005 through December 31(st), 2008 SSI rate was 1.0% (13/1292). From January 1(st), 2009 through February 28(th), 2011 the SSI rate was zero (0/875). the SSI rates decreased 100%. Due to the reduction in SSI, the hospital saved a minimum of $154,059 over a two year period.
  
  
  CONCLUSIONS
  In this retrospective review, the Steiros Algorithm(®) Outpatient Surgery Protocol dramatically reduced the overall SSI rate to zero and saved money. We believe this is a simple, effective protocol that can be used for all orthopedic surgical procedures.
authors.affiliation: Lakeside Orthopedics 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130, USA. kwatson73@gmail.com
authors.forename: Paul A
authors.initials: PA
authors.lastname: Watson
authors.forename: Luke
authors.initials: L
authors.lastname: Watson
authors.forename: Alfonso
authors.initials: A
authors.lastname: Torress-Cook
mesh_terms: D000465:Algorithms; D000556:Ambulatory Surgical Procedures; D002985:Clinical Protocols; D003365:Costs and Cost Analysis; D006801:Humans; D019637:Orthopedic Procedures / Q000009:adverse effects*; D012189:Retrospective Studies; D017592:Skin Care / Q000379:methods*; D013530:Surgical Wound Infection / Q000191:economics / Q000209:etiology / Q000517:prevention & control*