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No Guarantees - March 2017 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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We were intrigued enough at the prospect of decolo- nizing the nose with- out the risk and com- plexity of antibiotics that we trialed a nasal antiseptic on our patients (and staff!) here at the Baylor Orthopedic and Spine Hospital at Arlington, an ortho- pedic treatment and surgical center with 23 beds in 1- or 2-bed rooms. We focus on spine and joint, specialties where surgical site infections can be particularly devastating. Read on to find out how we integrated a nasal antiseptic into our existing infection control protocols and lowered infection rates for MRSA-suspected patients, staff and caregivers. Trialing a nasal antiseptic The goal of our trial was to see if nasal decolonization would reduce our Staphylococcus aureus infection rates in our spine surgery patients. We added the nasal antiseptic to our existing practice of hand hygiene and pre-opera- tive skin decolonization using chlorhexidine gluconate bathing and body wipes. Nasal antiseptics come as either an alcohol-based or M A R C H 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 6 7 The patient's assigned and labeled bottle traveled with the chart to the PACU. • KEEP YOUR NOSE CLEAN When patients undergoing spinal surgery swabbed the inside of their noses with a topical antiseptic before the procedure, there was a dramatic reduction in surgical-site infections. Baylor Orthopedic & Spine Hospital

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