CORR Insights®: Does Preoperative Decolonization Reduce Surgical Site Infections in Elective Orthopaedic Surgery? A Prospective Randomized Controlled Trial

摘要

In the current study, Rohrer and colleagues [15] performed a single-blinded randomized trial to determine whether preoperative decolonization reduces surgical site infections (SSIs) in a European orthopaedic surgery tertiary care center. Two weeks before elective orthopaedic procedures, patients were screened for methicillin-sensitive Staphylococcus aurea carriers (MSSA) carrier status. Two groups were formed, based on whether patients carried MSSA or did not carry that bacterium. Decolonization was multimodal. The researchers found no difference in the risk of SSI between the decolonization and control groups, both in carriers and noncarriers. Since decolonization did not mitigate SSIs, the medical community must seek other protocols to reduce SSIs.