Selected Instructional Course Lecture   |    
Modifiable Risk Factors for Surgical Site Infection
Calin S. Moucha, MD1; Terry Clyburn, MD2; Richard P. Evans, MD3; Laura Prokuski, MD4
1 Department of Orthopaedics, Mount Sinai Medical Center, 5 East 98th Street, Box 1188, New York, NY 10021. E-mail address: mouchacs@mac.com
2 Department of Orthopaedic Surgery, University of Texas Medical School at Houston, 6400 Fannin Street, Suite 1700, Houston, TX 77030
3 Department of Orthopaedic Surgery, Shorey #531, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR 72205
4 Sonoran Orthopaedic Trauma Surgeons, 3126 North Civic Center Plaza, Scottsdale, AZ 85251
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2011 in Instructional Course Lectures, Volume 60. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Feb 16;93(4):398-404
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Multiple risk factors for orthopaedic surgical site infection, including a wide variety of demographic, comorbid, operative, and postoperative variables, have been identified1. The patient as a host is an important risk factor for infection, and many, if not most, patients are in suboptimal health. Optimizing the patient's medical condition before surgery and eliminating or even diminishing modifiable risk factors for infection (Fig. 1) should lower the risk of surgical site infection. Direct scientific evidence showing that modification of these risk factors will lead to a decrease in surgical site infection is not readily available, and much work in this field remains to be done. It is imperative that surgeons have an extensive knowledge of modifiable risk factors affecting the wound-healing process and subsequent wound complications.
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