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Operating Room Attire Policy and Healthcare Cost: Favoring Evidence over Action for Prevention of Surgical Site Infections  Adham Elmously, MD, Katherine.

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Presentation on theme: "Operating Room Attire Policy and Healthcare Cost: Favoring Evidence over Action for Prevention of Surgical Site Infections  Adham Elmously, MD, Katherine."— Presentation transcript:

1 Operating Room Attire Policy and Healthcare Cost: Favoring Evidence over Action for Prevention of Surgical Site Infections  Adham Elmously, MD, Katherine D. Gray, MD, Fabrizio Michelassi, MD, FACS, Cheguevara Afaneh, MD, FACS, Michael D. Kluger, MD, FACS, Arash Salemi, MD, FACS, Anthony C. Watkins, MD, Alfons Pomp, MD, FACS  Journal of the American College of Surgeons  Volume 228, Issue 1, Pages (January 2019) DOI: /j.jamcollsurg Copyright © 2018 American College of Surgeons Terms and Conditions

2 Figure 1 Standardized difference plot. Differences before and after propensity score matching comparing covariates confounding surgical site infection for patients undergoing operations before and after the policy change. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2018 American College of Surgeons Terms and Conditions

3 Figure 2 Multivariable model for predictors of surgical site infection. Forest plot of multivariable logistic regression model for the association of patient and procedural factors with postoperative surgical site infection. ASA, American Society of Anesthesiologists; OR, operating room. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2018 American College of Surgeons Terms and Conditions

4 Figure 3 Microbiome of surgical site infection by attire policy. Pie charts represent the 3 most common microbiological isolates from positive wound cultures of patients with surgical site infection before and after the policy change. Streptococcus mitis was the third most common bacteria before the policy change vs Pseudomonas aeruginosa after the policy change; however, there was no difference in the proportion of Staphylococcus aureus isolates. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2018 American College of Surgeons Terms and Conditions

5 Figure 4 Proportion of Staphylococcal species in clean and clean-contaminated procedures. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2018 American College of Surgeons Terms and Conditions


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