Do ’Surgical Helmet Systems’ or ’Body Exhaust Suits’ Affect Contamination and Deep Infection Rates in Arthroplasty? A Systematic Review

Authors

Simon W. Young, Mayo Clinic Hospital
Mark Zhu, North Shore Hospital
Otis C. Shirley, North Shore Hospital
Qing Wu, University of Nevada, Las VegasFollow
Mark J. Spangehl, Mayo Clinic Hospital

Document Type

Article

Publication Date

8-1-2016

Publication Title

The Journal of Arthroplasty

Volume

31

Issue

1

First page number:

225

Last page number:

233

Abstract

This systematic review examined whether negative-pressure Charnley-type body exhaust suits (BES) or modern positive-pressure surgical helmet systems (SHS) reduce deep infection rates and/or contamination in arthroplasty. For deep infection, four studies (3990 patients) gave adjusted relative risk for deep infection of 0.11 (P = 0.09) against SHS. Five of 7 (71%) studies found less air contamination and 2 of 4 studies (50%) less wound contamination with BES. One of 4 (25%) found less air contamination with SHS and 0 of 1 (0%) less wound contamination. In contrast to BES, modern SHS designs were not shown to reduce contamination or deep infection during arthroplasty

Repository Citation

Young, S. W., Zhu, M., Shirley, O. C., Wu, Q., Spangehl, M. J. (2016). Do ’Surgical Helmet Systems’ or ’Body Exhaust Suits’ Affect Contamination and Deep Infection Rates in Arthroplasty? A Systematic Review. The Journal of Arthroplasty, 31(1), 225-233.
http://dx.doi.org/10.1016/j.arth.2015.07.043