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. 2017 May 1;45(5):554-556.
doi: 10.1016/j.ajic.2016.12.021. Epub 2017 Feb 8.

Perioperative participation of orthopedic patients and surgical staff in a nasal decolonization intervention to reduce Staphylococcus spp surgical site infections

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Free article

Perioperative participation of orthopedic patients and surgical staff in a nasal decolonization intervention to reduce Staphylococcus spp surgical site infections

Anildaliz Mullen et al. Am J Infect Control. .
Free article

Abstract

With the goal of reducing rates of surgical site infections in our spine patients, we initiated a trial to investigate the impact of adding perisurgical nasal decolonization involving patients and surgical and nursing staff. We combined immediate presurgical application of a nonantibiotic alcohol-based nasal antiseptic with existing chlorhexidine bath or wipes in a comprehensive pre- and postoperative decolonization protocol. Mean infection rates were significantly decreased by 81% from 1.76 to 0.33 per 100 surgeries during the 15-month trial, when compared with the prior 9-month baseline.

Keywords: Alcohol-based nasal antiseptic; Anterior nares; Perioperative nasal decolonization; Spine surgery; Staff nasal decolonization.

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