Re: Orthopaedic surgery and infections

[Jenny Stubbings]

Hi Michael,
No we don’t accommodate any of the below if at all possible on our
orthopaedic wards. Last year we finalised policy around this and where ever
possible these patients are placed else where in the facility. As you have
stated it was an extremely contentious issue for our orthopaedic surgeons so
they drove the policy and are quite happy to comply. We have an extremely
low infection rate for our joint replacements so they are very anxious to
keep it that way.
Regards
Jenny

—–Original Message—–

Hi all

Just some quick questions about orthopaedic patients with infections.

1. Do you accommodate orthopaedic patients with active wound infection
on your post-op orthopaedic wards?
2. In particular, do you accommodate orthopaedic joint surgery patients
with active wound infections on the same ward as post-op orthopaedic
joint surgery patients?
3. Do you allow patients colonised with MRSA or ESBL’s to be
accommodated on the same ward as post-op orthopaedic joint surgery
patients?
4. If yes to any of the above, are patients on orthopaedic wards with
colonisation or infections always placed in single rooms?

These are contentious issues for orthopaedic surgeons in our facility
(and probably many other facilities!), so any comments or thoughts on
risks and risk management strategies to prevent joint infections
post-operatively would be appreciated.

Does any one know of any useful published guidelines about this?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

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