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

Simon W. Young; Mark Zhu; Otis C. Shirley; Qing Wu; Mark J. Spangehl

doi:10.1016/j.arth.2015.07.043

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

Simon W. Young, Mark Zhu, Otis C. Shirley, Qing Wu, Mark J. Spangehl

Orthopedics

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

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.

Original language	English (US)
Pages (from-to)	225-233
Number of pages	9
Journal	Journal of Arthroplasty
Volume	31
Issue number	1
DOIs	https://doi.org/10.1016/j.arth.2015.07.043
State	Published - Jan 1 2016

Keywords

Arthroplasty
Body exhaust suits
Contamination
Infection
Space suits
Surgical helmet systems

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2015.07.043

Cite this

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title = "Do 'Surgical Helmet Systems' or 'Body Exhaust Suits' Affect Contamination and Deep Infection Rates in Arthroplasty? A Systematic Review",

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.",

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AU - Spangehl, Mark J.

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

Abstract

Keywords

ASJC Scopus subject areas

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