Erratum
e1
Modified Protocol Decreases Surgical Site Infections after Total Knee Arthroplasty Joseph D. Lamplot, MD1 David Manning, MD2
Gaurav Luther, MD1
Emily Landon Mawdsley, MD1
1 Department of Orthopaedic Surgery and Rehabilitation Medicine,
University of Chicago Pritzker School of Medicine, Chicago, Illinois 2 Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Hue H. Luu, MD1
Address for correspondence David Manning, MD, Department of Orthopaedic Surgery, Northwestern University, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611 (e-mail: [email protected]).
ERRATUM
The publisher regrets errors in ►Table 1 in the above article in the Journal of Knee Surgery, published online February 20, 2015 (DOI: 10.1055/s-0035-1544974). The correct ►Table 1 appears below.
Table 1 Aseptic protocol development Facets of aseptic protocol
Before January 1, 2005
After January 1, 2005
Operating room instrument handling
No regulations
Tray consolidation and minimization of instruments Elimination of paper wrapping of trays Utilization of self-contained metal trays Eliminate flashing of instruments
Home prophylaxis
None
Home nasal mupirocin (x 5 d) and surgical site chlorhexidine wipes
Perioperative prophylaxis
Non–weight-based cefazolin (1 g IV for all patients)
Vancomycin Weight-based cefazolin (1 g IV for < 60 kg, 2 g IV for > 60 kg) (1 g for all patients before February 1, 2009)
Antiseptic skin preparation
No regulations
1. 4% Chlorhexidine-gluconate 2. 70% isopropyl alcohol 3. 10% povidone iodine OR 1. Chlorhexidine-gluconate/isopropyl alcohol prep kit 2. 70% isopropyl alcohol 3. Duraprep (3M)
Surgical closure
No regulations
Arthrotomy closed over drain with nonabsorbable sutures Skin reapproximated with absorbable sutures and skin staples
Preoperative risk stratification
No regulations
Preoperative anesthesia clinic visit with focus on risk reduction, including diabetes control, hypertension control, weight loss, and smoking cessation
Postoperative monitoring
No regulations
Monthly surveillance for 1 y minimum
Preoperative antimicrobial prophylaxis
Copyright © 2015 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662.
DOI http://dx.doi.org/ 10.1055/s-0035-1549102. ISSN 1538-8506.
Downloaded by: National University of Singapore. Copyrighted material.
J Knee Surg 2015;28:e1.
e1
Modified Protocol Decreases Surgical Site Infections after Total Knee Arthroplasty Joseph D. Lamplot, MD1 David Manning, MD2
Gaurav Luther, MD1
Emily Landon Mawdsley, MD1
1 Department of Orthopaedic Surgery and Rehabilitation Medicine,
University of Chicago Pritzker School of Medicine, Chicago, Illinois 2 Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Hue H. Luu, MD1
Address for correspondence David Manning, MD, Department of Orthopaedic Surgery, Northwestern University, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611 (e-mail: [email protected]).
ERRATUM
The publisher regrets errors in ►Table 1 in the above article in the Journal of Knee Surgery, published online February 20, 2015 (DOI: 10.1055/s-0035-1544974). The correct ►Table 1 appears below.
Table 1 Aseptic protocol development Facets of aseptic protocol
Before January 1, 2005
After January 1, 2005
Operating room instrument handling
No regulations
Tray consolidation and minimization of instruments Elimination of paper wrapping of trays Utilization of self-contained metal trays Eliminate flashing of instruments
Home prophylaxis
None
Home nasal mupirocin (x 5 d) and surgical site chlorhexidine wipes
Perioperative prophylaxis
Non–weight-based cefazolin (1 g IV for all patients)
Vancomycin Weight-based cefazolin (1 g IV for < 60 kg, 2 g IV for > 60 kg) (1 g for all patients before February 1, 2009)
Antiseptic skin preparation
No regulations
1. 4% Chlorhexidine-gluconate 2. 70% isopropyl alcohol 3. 10% povidone iodine OR 1. Chlorhexidine-gluconate/isopropyl alcohol prep kit 2. 70% isopropyl alcohol 3. Duraprep (3M)
Surgical closure
No regulations
Arthrotomy closed over drain with nonabsorbable sutures Skin reapproximated with absorbable sutures and skin staples
Preoperative risk stratification
No regulations
Preoperative anesthesia clinic visit with focus on risk reduction, including diabetes control, hypertension control, weight loss, and smoking cessation
Postoperative monitoring
No regulations
Monthly surveillance for 1 y minimum
Preoperative antimicrobial prophylaxis
Copyright © 2015 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662.
DOI http://dx.doi.org/ 10.1055/s-0035-1549102. ISSN 1538-8506.
Downloaded by: National University of Singapore. Copyrighted material.
J Knee Surg 2015;28:e1.
