Joshua M Pahys, Jenny R Pahys, Samuel K Cho, Matthew M Kang, Lukas P Zebala, Ammar H Hawasli, Fred A Sweet, Dong-Ho Lee, K Daniel Riew
BACKGROUND: To decrease surgical site infections, we initiated a protocol of preliminary preparation of the skin and surrounding plastic drapes with alcohol foam, and the placement of a suprafascial drain in addition to a subfascial drain in obese patients in 2004. In 2008, we additionally placed 500 mg of vancomycin powder into the wound prior to closure. The purpose of this study was to analyze the infection rates for three groups: Group C (control that received standard perioperative intravenous antibiotics alone), Group AD (alcohol foam and drain), and Group VAD (vancomycin with alcohol foam and drain)...
March 20, 2013: Journal of Bone and Joint Surgery. American Volume