Does performing a primary total joint arthroplasty (TJA) after a dirty case (infection or open abdomen) in the same operating room increase the risk of surgical site infections/periprosthetic joint infections (SSIs/PJIs)?

Authors: Antonia F. Chen, Michael Kheir, Francisco Montilla

RECOMMENDATION: The litt le data on this subject suggests that the risk of PJIs may be higher when an elective arthroplasty follows a contaminated case. The risk may be reduced if terminal cleaning of the operating room can be done after the dirty case. Further studies are necessary to
elucidate this connection.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 93%, Disagree: 4%, Abstain: 3% (Super Majority, Strong Consensus)

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