SSI予防における手術室等の設備, 環境に関する整形外科領域のエビデンス

抄録

 Periprosthetic joint infection (PJI) is now one of the most challenging complications in orthopaedic surgery. There are many surgical site infection (SSI) prevention guidelines that have recently been introduced. Among them, the International Consensus on PJI is one of the most outstanding guidelines. It has provided the global standard since 2013 for 204 of the most clinically relevant questions in PJI care. It is still the most informative literature for PJI prevention, diagnosis and treatment.

 But, there are some disagreements among several recent SSI prevention guidelines. These differences are mainly due to the timing when the guidelines were made, the sources of the evidence, and the approach used to finalize each statement.

 In Japan, there are several well organized domestic guidelines for SSI prevention. Among them, the Japan Orthopaedic Association guideline is one of the most organized materials covering many clinically relevant topics. The guideline was made in a similar fashion to the International Consensus, but it contains slightly different questions and references.

 In this review, the most important messages recommended in these two guidelines have been summarized regarding the evidence of the operative environment for prevention of SSI in orthopaedic surgery.