title: [Prevention of periprosthetic joint infections : Not evidence-based strategies].
abstract: BACKGROUND
  Surgical site infections are the most common nosocomial infections in orthopedic surgery. Strategies to prevent these infections are of enormous relevance.
  
  
  OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Only the consequent implementation of evidence-based procedures can help prevent surgical site infections.
authors.affiliation: Orthopädische Klinik der Universität Regensburg, Asklepios Klinikum, Bad Abbach, Deutschland, a.keshmiri@asklepios.com.
authors.forename: A
authors.initials: A
authors.lastname: Keshmiri
authors.forename: G
authors.initials: G
authors.lastname: Maderbacher
authors.forename: C
authors.initials: C
authors.lastname: Baier
authors.forename: H-R
authors.initials: HR
authors.lastname: Springorum
authors.forename: J
authors.initials: J
authors.lastname: Grifka
authors.forename: J
authors.initials: J
authors.lastname: Schaumburger
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis / Q000379:methods*; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D019317:Evidence-Based Medicine; D063373:Hand Hygiene / Q000379:methods*; D006801:Humans; D007595:Joint Prosthesis / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000517:prevention & control*; D013203:Staphylococcal Infections / Q000382:microbiology / Q000517:prevention & control*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents