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West Virginia University

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2019

Contamination

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Rate Of Surface Contamination In The Operating Suite During Revision Total Joint Arthroplasty, Matthew J. Dietz, Phillip A. Bostian, Emily P. Ernest, Adam E. Klein, P. Rocco Lasala, Benjamin M. Frye, Brock A. Lindsey Jan 2019

Rate Of Surface Contamination In The Operating Suite During Revision Total Joint Arthroplasty, Matthew J. Dietz, Phillip A. Bostian, Emily P. Ernest, Adam E. Klein, P. Rocco Lasala, Benjamin M. Frye, Brock A. Lindsey

Faculty & Staff Scholarship

Background

This study estimated operating room surface contamination rates during aseptic vs septic total joint arthroplasty and evaluated the similarity between clinically infecting organisms and those isolated from contaminated surfaces.

Methods

Patients undergoing total hip and knee revision arthroplasties were identified, and surface and tissue samples were collected. Cases were classified aseptic or septic based on Musculoskeletal Infection Society criteria for prosthetic joint infection. Positive surface cultures were compared with intraoperative tissue cultures. Positive cultures were speciated and tested for antimicrobial sensitivity.

Results

Samples were collected from 31 aseptic and 18 septic cases. Patients had similar demographics and time to …