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

Research output: Contribution to journalArticle

23 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 languageEnglish (US)
Pages (from-to)225-233
Number of pages9
JournalJournal of Arthroplasty
Volume31
Issue number1
DOIs
StatePublished - 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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