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Deep Infection After Total Knee Replacement: Impact of Laminar Airflow Systems and Body Exhaust Suits in the Modern Operating Room

Published online by Cambridge University Press:  02 January 2015

Andrew L. Miner ,
Elena Losina ,
Jeffrey N. Katz ,
Anne H. Fossel  and
Richard Platt
Andrew L. Miner
Affiliation:
Department of Ambulatory Care and Prevention and Channing Laboratory, Department of Medicine, Boston, Massachusetts Centers for Disease Control and Prevention Eastern Massachusetts Prevention Epicenter, Boston, Massachusetts
Elena Losina
Affiliation:
Section of Clinical Sciences, Division of Rheumatology, Immunology and Allergy, Boston, Massachusetts Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts
Jeffrey N. Katz
Affiliation:
Section of Clinical Sciences, Division of Rheumatology, Immunology and Allergy, Boston, Massachusetts Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
Anne H. Fossel
Affiliation:
Section of Clinical Sciences, Division of Rheumatology, Immunology and Allergy, Boston, Massachusetts
Richard Platt*
Affiliation:
Department of Ambulatory Care and Prevention and Channing Laboratory, Department of Medicine, Boston, Massachusetts Centers for Disease Control and Prevention Eastern Massachusetts Prevention Epicenter, Boston, Massachusetts
*
133 Brookline Avenue, Boston, MA 02215 ([email protected])
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Abstract

We investigated the relationship between the risk of deep infection and intraoperative use of laminar airflow systems and body exhaust suits during 8,288 total knee replacements performed in 256 hospitals. The overall 90-day cumulative incidence of deep infection requiring subsequent operation was 0.34% (28 procedures). In all combinations of laminar airflow systems and body exhaust suits, the 90-day cumulative incidence of infection requiring subsequent operation was 0.27%-0.43%. The risk ratio was 1.57 (95% confidence interval, 0.75-3.31) for laminar airflow systems and 0.75 (95% confidence interval, 0.34-1.62) for body exhaust suits suits. The risk was not statistically associated with use of either method, but infections were rare.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 2 , February 2007 , pp. 222 - 226
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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