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

The Journal of Arthroplasty
Simon W YoungMark J Spangehl

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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Citations

Sep 23, 2016·The Journal of Bone and Joint Surgery. American Volume·James T NinomiyaStephen J Incavo
Jan 19, 2017·The Journal of Bone and Joint Surgery. American Volume·Gwo-Chin Lee
Aug 24, 2017·International Orthopaedics·Willem-Jan MetsemakersStefaan Nijs
Apr 27, 2018·Clinical Orthopaedics and Related Research·Alberto V Carli
Jan 25, 2020·Clinical Orthopaedics and Related Research·Alex VermeirenFrank Verheyden
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Nov 29, 2016·AORN Journal·Donna Armellino
Sep 18, 2017·Archives of Orthopaedic and Trauma Surgery·Otis C ShirleySimon W Young
Feb 27, 2018·Clinical Orthopaedics and Related Research·Justin L MakovickaMark J Spangehl
Nov 19, 2020·EFORT Open Reviews·Philip F Dobson, Michael R Reed
Jul 23, 2021·Orthopedics·Nathaneal AdamsTheresa Atkinson
Oct 28, 2020·Journal of Manufacturing Systems·Aamer NazirEisa Alanazi
Aug 31, 2021·Environmental Science and Pollution Research International·Huiyi TanHooi Siang Kang
Mar 21, 2018·The Journal of Hospital Infection·K CleshamC G Murphy

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