title: Orthopaedic Infection: Prevention and Diagnosis.
abstract: Host optimization, reduction of bacteria, and establishing proper wound environment in the preoperative, intraoperative, and postoperative periods are the traditional cornerstones of infection prevention. Most institutions have standardized a systems approach to reduce the incidence of surgical site infections. Typically, these systems-based approaches promote protocols for hand and environmental hygiene, patients risk assessment and screening, surgical delays for identifiable and modifiable risk factors, infection surveillance, antibiotic stewardship programs, communication/coordination of care, physician 360° reporting, and unit-based safety programs. Despite the institution of these prevention efforts, there remains controversy about the efficacy and cost-effectiveness of a number of these approaches.
authors.affiliation: From the Mayo Clinic, Rochester, MN.
authors.forename: Kevin I
authors.initials: KI
authors.lastname: Perry
authors.forename: Arlen D
authors.initials: AD
authors.lastname: Hanssen
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis / Q000379:methods; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus; D019637:Orthopedic Procedures / Q000009:adverse effects*; D013203:Staphylococcal Infections; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents