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- Simon W Young, Mark Zhu, Otis C Shirley, Qing Wu, and Mark J Spangehl.
- Orthopaedic Department, Mayo Clinic Hospital, Phoenix, Arizona.
- J Arthroplasty. 2016 Jan 1; 31 (1): 225-33.
AbstractThis 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.Copyright © 2016 Elsevier Inc. All rights reserved.
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