Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
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Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

sicot.org
30.01.2013 Views

Poster Topic: Infections Abstract number: 23444 DO TINY DROPS CAUSE AN INFECTION IN ORTHOPAEDICS Santosh VENKATACHALAM, Roland PRATT North Tyneside General Hospital, North Shields (UNITED KINGDOM) We did a prospective study of 15 elective orthopaedic operations in our operating theatres. We noticed that after scrubbing up, while the surgeon opens the gown to get towels for drying the hand, droplets tend to drip on to the gown. This gown is worn for operation and comes into contact in the operating field throughout the procedure. Our null hypothesis was that these droplets may cause some commensals which can cause infections especially arthroplasty procedures. We innoculated these droplets into culture media including enrichment broth to see if they yield any organisms of significance. Two surgeons and the scrub nurse innoculated the culture plates with these droplets. None of the plates yielded any growth even after prolonged incubation. This suggests that the risk of contamination from these droplets to cause infection is low. 294

Poster Topic: Infections Abstract number: 23744 ANTIBIOTIC PROPHYLAXIS IN ARTHROPLASTY- A SURVEY OF PRACTICE AMONGST ORTHOPAEDIC SURGEONS S. THOMAS, R. DHARMARAJAN Cumberland Infirmary, Carlsile, Newcastle Upon Tyne (UNITED KINGDOM) Introduction: Joint replacements are increasingly performed by Orthopaedic Surgeons. Infection following arthroplasty is a dreaded complication and antibiotic prophylaxis is regularly used. There is no universal consensus regarding type of antibiotic to be used. We conducted this survey to assess the current practice regarding the use of antibiotics in joint replacement surgery. Method: A questionnaire survey was done amongst the members of British Orthopaedic Association. The survey assessed if hospitals provided a protocol for antibiotic prophylaxis, the type and doses of antibiotic used. The survey also assessed awareness regarding any existing guidelines for antibiotic prophylaxis and the need for such guidelines. Results: 88% of the respondents mentioned that their hospital provides a guideline .There was variation in practice with 58.1% using Cefuroxime, 25.6% using Gentamicin, 23.5% using Flucloxacillin and 14% using Augmentin. 61.8% use one pre operative plus two post operative doses. 53.65% were not aware of any regional/national guidelines and 30.9% were not sure. 63.4% suggested a guideline is required for using prophylactic antibiotics. While 51.2% feel it should be done at a regional or hospital level, 31% felt that there should be a uniform national guideline for such practice. Conclusion: There seems to be a variation in the current practice of using prophylactic antibiotics in arthroplasty across hospitals. A consensus regarding antibiotics usage and guidelines developed at regional or national level is recommended. 295

Poster<br />

Topic: Infections<br />

Abstract number: 23444<br />

DO TINY DROPS CAUSE AN INFECTION IN ORTHOPAEDICS<br />

Santosh VENKATACHALAM, Roland PRATT<br />

North Tyneside General Hospital, North Shields (UNITED KINGDOM)<br />

We did a prospective study of 15 elective orthopaedic operations in our operating<br />

theatres. We noticed that after scrubbing up, while the surgeon opens the gown to<br />

get towels for drying the hand, droplets tend to drip on to the gown. This gown is<br />

worn for operation and comes into contact in the operating field throughout the<br />

procedure. Our null hypothesis was that these droplets may cause some<br />

commensals which can cause infections especially arthroplasty procedures. We<br />

innoculated these droplets into culture media including enrichment broth to see if<br />

they yield any organisms of significance. Two surgeons and the scrub nurse<br />

innoculated the culture plates with these droplets. None of the plates yielded any<br />

growth even after prolonged incubation. This suggests that the risk of contamination<br />

from these droplets to cause infection is low.<br />

294

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