Background: Control of surgical site infections (SSI) is imperative for the safety of our patients. As orthopedic surgeons we strive to have the lowest infection rate possible for all our surgical procedures. this study evaluates the effects of a simple outpatient peri-operative patient cleaning protocol (The Steiros Algorithm(®) Outpatient Surgery Protocol) on SSI rates.
Methods: We retrospectively reviewed the hospital's infection rate database for all procedures from July 2005 until February 2011 performed by one general orthopedic surgeon (PAW) within one hospital system. The Steiros Algorithm(®) Outpatient Surgery Protocol was instituted on January 1(st), 2009. We calculated and compared the deep and superficial SSI rate for orthopedic surgeries performed before and after the Outpatient Protocol was instituted. All patients had a minimum of one-year follow-up data. Lowest previously published estimated costs for SSI were used for a cost analysis ($17,708).
Results: The July 1(st), 2005 through December 31(st), 2008 SSI rate was 1.0% (13/1292). From January 1(st), 2009 through February 28(th), 2011 the SSI rate was zero (0/875). the SSI rates decreased 100%. Due to the reduction in SSI, the hospital saved a minimum of $154,059 over a two year period.
Conclusions: In this retrospective review, the Steiros Algorithm(®) Outpatient Surgery Protocol dramatically reduced the overall SSI rate to zero and saved money. We believe this is a simple, effective protocol that can be used for all orthopedic surgical procedures.
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Phys Rev E
March 2022
Department of Aeronautics, Imperial College London, SW7 2AZ London, United Kingdom.
Kolmogorov's 1941 (K41) framework remains central to the understanding of turbulent flows. However, in unsteady turbulence, K41's critical equilibrium assumption is expected to hold in an asymptotic manner, as the Reynolds number and wave numbers tend to infinity, rendering K41 not strictly valid at finite wave numbers. This work proposes a generalization of K41 for out-of-equilibrium effects and cascades far from initial conditions.
View Article and Find Full Text PDFJ Infect Prev
July 2016
Alta Hospital System, Los Angeles, CA, USA.
Background: Environmental contamination has been associated with over half of methicillin-resistant (MRSA) outbreaks in hospitals. We explored if a hospital-wide environmental and patient cleaning protocol would lower hospital acquired MRSA rates and associated costs.
Objective: This study evaluates the impact of implementing a hospital-wide environmental and patient cleaning protocol on the rate of MRSA infection and the potential cost benefit of the intervention.
Iowa Orthop J
July 2013
Lakeside Orthopedics 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130, USA.
Background: Control of surgical site infections (SSI) is imperative for the safety of our patients. As orthopedic surgeons we strive to have the lowest infection rate possible for all our surgical procedures. this study evaluates the effects of a simple outpatient peri-operative patient cleaning protocol (The Steiros Algorithm(®) Outpatient Surgery Protocol) on SSI rates.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!