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Surgical Site Infection Prevention and Control: An Emerging Paradigm
Richard P. Evans, MD1
1 Please address all correspondence to Juleah Joseph, MPH, Biomedical Research and Regulation, Department of Research and Scientific Affairs, American Academy of Orthopaedic Surgeons, 6300 North River Road, Rosemont, IL 60018. E-mail address for J. Joseph: joseph@aaos.org
View Disclosures and Other Information
The members of the American Academy of Orthopaedic Surgeons Patient Safety Committee include Paul M. Huddleston, MD, Terry A. Clyburn, MD, Richard P. Evans, MD (Chairperson), Calin S. Moucha, MD, Laura J. Prokuski, MD, Juleah Joseph, MPH, and Katherine Sale, MPH.
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from a commercial entity (DePuy, a Johnson and Johnson Company) and payments or other benefits of less than $10,000 or a commitment or agreement to provide such benefits from commercial entities (Cubist and JMI King). Commercial entities (Biomet and Cubist) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Nov 01;91(Supplement 6):2-9. doi: 10.2106/JBJS.I.00549
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The Centers for Disease Control and Prevention (CDC) estimates that 22% of all health-care-associated infections are surgical site infections. A CDC estimate from 2001 suggests that approximately 290,000 surgical site infections occur annually in the United States, resulting in $1 billion to $10 billion in direct and indirect medical costs. Approximately 8000 patient deaths are associated with these infections. Staphylococcus species including Staphylococcus aureus are the leading nosocomial pathogens in hospitals throughout the world and altogether total almost 30% of the pathogenic isolates of health-care-associated infection reported to the National Healthcare Safety Network from January 2006 to October 20071.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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