Abstract
The following checklist is derived from the “Proceedings of the International Consensus Meeting on Peri-prosthetic Joint Infection”, under the auspices of the Musculoskeletal Infection Society, August 1, 2013. It is available online at http://www.msis-na.org/wp-content/themes/msis-temp/pdf/ism-peri-prosthetic-joint-information.pdf.
Pre-Operative: Patient Factors, AODM, Obesity, Smoking, Immunodeficiency, ASA score > 2, Prior open surgery?, MRSA history, EtOH abuse, Malnutrition, Anemia, Recurrent infections
Peri-Operative: Avoid pre-op hospitalization, Chlorhexidine scrub < 6 h pre-op, Hair removal: depilatory or clipper, Appropriate Antibiotic Prophylaxis, Cephalosporin 30–60 min pre-incision, or Vancomycin 1 hour pre-incision, Alcohol based hand emollient after antiseptic soap hand scrub, Limit OR Traffic and Talking!, Double glove, change gloves q2h, ABC bone cement: revisions, high risk patients (immunocompromised), Dilute Betadiner lavage?
Post-Operative: Careful wound closure (Sealed, dry), Sterile, impervious dressing x 24 h, Drain optional, < 48 h, Antibiotic prophylaxis x 24 h, Aggressive drainage hematomas
