Editor's Note A cohort study published February 24 in JAMA Pediatrics found that prophylactic antibiotics reduced the odds of surgical site infections (SSIs) by 72% in children undergoing cholecystectomy for uncomplicated cholelithiasis. However, extended-spectrum antibiotics offered no additional benefit over cefazolin, suggesting that simpler prophylaxis protocols could optimize outcomes while…

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Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…

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Editor's Note New infection control recommendations from the American Society of Regional Anesthesia and Pain Medicine (ASRA Pain Medicine) are purportedly the first comprehensive guidelines tailored specifically for regional anesthesia and interventional pain management procedures, such as cortisone injections and drug-delivery implants.   As detailed in the organization’s January 21…

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Editor's Note A panel discussion at last year’s OR Manager Conference highlighted the benefits and challenges of introducing robotics into ambulatory surgery centers (ASCs), particularly for joint replacement surgical procedures. Hosted by Surgical Care Affiliates (SCA) and Stryker leaders, the session emphasized how robotic technology can help improve surgical outcomes,…

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For many in the healthcare industry, imagining surgery without onsite sterile processing seems unthinkable. Then again, performing total joints in an ambulatory surgery center (ASC) was unthinkable 10 years ago. ASC sterile processing departments (SPDs) are generally not designed to handle the high volumes of instrument trays, vendor trays, and…

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Asking who, what, why, when, where, and how—otherwise known as the “5 Ws and an H”— is a time-tested way for writers and researchers to ensure comprehensive coverage of any topic. Here, we apply this framework from the perspective of sterile processing department (SPD) professionals seeking to start a water…

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Editor's Note Amid continued debate about the best choice of preoperative skin antiseptic, findings published in JAMA June 17 show that povidone iodine in alcohol offers similar outcomes to chlorhexidine gluconate when used in alcohol. The randomized clinical trial included 3,360 patients in 3 tertiary care hospitals in Switzerland, 2,187…

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Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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Editor's Note A study published May 7 in JAMA Open found no significant risk of periprosthetic joint infection (PJI) when colonoscopy is performed within one year of total joint arthroplasty (TJA), whether the colonoscopy was done before or after the surgery. However, certain comorbidities such as kidney and pulmonary disease,…

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Over 20 years ago, an article from Johns Hopkins published in The New England Journal of Medicine showed that Staphylococcus aureus decolonization of the nares can decrease risk of surgical site infections (SSI). Since then, nasal decolonization—the application of a topical antimicrobial or antiseptic agent to the nares—has been adopted…

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