Do ’Surgical Helmet Systems’ or ’Body Exhaust Suits’ Affect Contamination and Deep Infection Rates in Arthroplasty? A Systematic Review
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
Young, S. W.,
Shirley, O. C.,
Spangehl, M. J.
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),