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Re: Orthopaedic surgery and infections

Home Forums Infexion Connexion Orthopaedic surgery and infections Re: Orthopaedic surgery and infections

#68353
Toni Schouten
Participant

Author:
Toni Schouten

Email:
toni.schouten@SSWAHS.NSW.GOV.AU

Organisation:

State:

We have a designated elective ward where patients are screened
pre-admission. If a patient needs to be admitted immediately due to
their medical condition to this ‘ring fenced’ ward they are placed in a
single room and swabs collected for MRSA. “Released” once proven
negative.
We have another ortho ward in our main hospital where known MROs can go
and trauma cases. In this ortho ward the patient would not necessarily
be placed in a single room unless the organism was significant.

Regards,
Toni Schouten CICP
Clinical Nurse Consultant
Infection Control
Royal Prince Alfred Hospital
Level 7, KGV Building
Missenden Road
Camperdown NSW 2050
Australia
toni.schouten@sswahs.nsw.gov.au

—–Original Message—–
Behalf Of Wishart, Michael

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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