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

Anildaliz Mullen; Helen J. Wieland; Eric S. Wieser; Ernst W. Spannhake; Rebecca S. Marinos

doi:10.1016/j.ajic.2016.12.021

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

Anildaliz Mullen, Helen J. Wieland, Eric S. Wieser, Ernst W. Spannhake, Rebecca S. Marinos

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Pages (from-to)	554-556
Number of pages	3
Journal	American Journal of Infection Control
Volume	45
Issue number	5
DOIs	https://doi.org/10.1016/j.ajic.2016.12.021
State	Published - May 1 2017

Keywords

Alcohol-based nasal antiseptic
Anterior nares
Perioperative nasal decolonization
Spine surgery
Staff nasal decolonization

ASJC Scopus subject areas

Epidemiology
Health Policy
Public Health, Environmental and Occupational Health
Infectious Diseases

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Perioperative participation of orthopedic patients and surgical staff in a nasal decolonization intervention to reduce Staphylococcus spp surgical site infections. / Mullen, Anildaliz; Wieland, Helen J.; Wieser, Eric S.; Spannhake, Ernst W.; Marinos, Rebecca S.

In: American Journal of Infection Control, Vol. 45, No. 5, 01.05.2017, p. 554-556.

Research output: Contribution to journal › Article › peer-review

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