title: Approach to Decrease Infection Following Total Joint Arthroplasty.
abstract: Surgical site infection in total joint arthroplasty is a challenging complication that warrants discussion with regard to prevention and management. Limiting postoperative infection rate is a paramount quest in the orthopedic community. Several preoperative risk factors have been identified in orthopedic literature with regards to likelihood of developing postoperative infection. This article evaluates several factors that predispose total joint arthroplasty patients to infection. Methods of patient surgical preparation designed to decrease postoperative infection, decreasing intraoperative traffic during procedural settings, and elaborate intraoperative prophylactic advancements are assessed. Approaches to decrease postoperative infection by discussing means of lowering rates of postoperative transfusion, wound drainage, and hematoma formation are analyzed.
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Hatz
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Afshin A
authors.initials: AA
authors.lastname: Anoushiravani
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Monique C
authors.initials: MC
authors.lastname: Chambers
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Mouhanad M
authors.initials: MM
authors.lastname: El-Othmani
authors.affiliation: Department of Orthopaedic and Sports Medicine, Detroit Medical Center, 311 Mack Avenue, 5th Floor, Detroit, MI 48201, USA. Electronic address: kjsaleh@gmail.com.
authors.forename: Khaled J
authors.initials: KJ
authors.lastname: Saleh
mesh_terms: D019643:Arthroplasty, Replacement / Q000009:adverse effects*; D019468:Disease Management; D014943:Global Health; D006801:Humans; D015994:Incidence; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000517:prevention & control*
keywords: Prevention; Prosthetic joint infection; Surgical site infection; Total hip infection; Total joint arthroplasty; Total knee infection