Aquacel Surgical Dressing Reduces the Rate of Acute PJI Following Total Joint Arthroplasty: A Case-Control Study.

Authors

Jenny Cai, The Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaFollow
Joseph A Karam, The Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaFollow
Javad Parvizi, The Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaFollow
Eric B Smith, The Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaFollow
Peter F. Sharkey, The Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaFollow

Document Type

Article

Publication Date

6-1-2014

Comments

This article has been peer reviewed. It is the authors' final version prior to publication in The Journal of Arthroplasty Volume 29, Issue 6, June 2014, Pages 1098-100.

The published version is available at DOI: 10.1016/j.arth.2013.11.012. Copyright © Elsevier Inc.

Abstract

An effort to prevent PJI has led to the development of antimicrobial dressings that support wound healing. We sought to determine whether Aquacel Surgical dressing independently reduces the rate of acute PJI following TJA. A single institution retrospective chart review of 903 consecutive cases who received the Aquacel Surgical dressing and 875 consecutive cases who received standard gauze dressing was conducted to determine the incidence of acute PJI (within 3months). The incidence of acute PJI is 0.44% in the Aquacel dressing group compared to 1.7% in the standard gauze dressing group (P=0.005). Multivariate analysis revealed that use of Aquacel dressing was an independent risk factor for reduction of PJI (odds ratio of 0.165, 95% confidence interval: 0.051-0.533). Aquacel Surgical dressing significantly reduces the incidence of acute PJI.

Recommended Citation

Cai, Jenny; Karam, Joseph A; Parvizi, Javad; Smith, Eric B; and Sharkey, Peter F., "Aquacel Surgical Dressing Reduces the Rate of Acute PJI Following Total Joint Arthroplasty: A Case-Control Study." (2014). Rothman Institute Faculty Papers. Paper 47.
https://jdc.jefferson.edu/rothman_institute/47