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Running head: INFECTIONS IN POST-OPERATIVE PATIENTS Infections in Post-Operative Patients Ashton J Goldsmith-Webb Walden University 1
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INFECTIONS IN POST-OPERATIVE PATIENTS Abstract This paper investigates two published research articles that compare the relationship with surgical site infections and dressings used after total joint replacement surgery. Both articles compare the use of the Aquacel Silver (AQ) dressing versus the use of the regular 4x4 gauze and tegaderm dressing. Kuo (2017) found through multivariate analysis that AQ surgical dressing was an independent risk factor for reduction of surgical site infection after total joint arthroplasty. Also, the study group had longer wear time and lower number of dressing changes (Kuo, et.al, 2017). Kai (2014) formalized a single institution retrospective chart review of 903 consecutive cases who received the AQ dressing and 875 consecutive cases who received standard gauze dressing was conducted to determine the incidence of acute post joint infection (PJI) within 3 months. The incidence of acute PJI is 0.44% in the AQ dressing group compared to 1.7% in the standard gauze dressing group (Kai, 2014). The analysis revealed that use of the AQ dressing was an independent risk factor for reduction of PJI (kai, 2014). 2
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INFECTIONS IN POST-OPERATIVE PATIENTS Infections in Post-Operative Patients According to the National Institute of health (2014), “surgical site infection (SSI) is defined as microbial contamination of the surgical wound within 30 days of an operation or within 1 year after surgery if an implant is placed in a patient”. Post-operative infections, particularly in joint replacement surgeries, are very serious and problematic to treat. Many times the artificial joint has to be replaced in order to rid the body of infection which means the patient has to go back under the knife. Oxford Academic (2002) states that “ a recent national
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  • Winter '17
  • Sheila Rucki
  • Orthopedic surgery, surgical site, Kuo, Joint replacement, Arthroplasty, post-operative patients

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