Interview with Professor Fares Haddad and Professor Andrew Toms - Preventing Infection in Primary Arthroplasty

Description

This virtual interview features Stephen Jones moderating a discussion among esteemed professors Fares Haddad and Andy Toms on the NICE guidelines regarding infection prevention, particularly around joint replacements. The conversation begins with an introduction and thanks to the professors, before delving into the specifics of the guidelines on antibiotic usage and wound care during surgeries.



Professor Haddad explains that the use of antiseptics and antibiotics should be reserved for research contexts, emphasizing that lavage with saline is standard practice in surgeries to ensure cleanliness without the routine use of additional antiseptics. He warns against the pitfalls of antibiotic resistance if antibiotics are used indiscriminately in primary arthroplasty environments.



Professor Toms adds to the discussion by addressing laminar flow and its implications in operating theaters, detailing the lack of conclusive modern studies to support its efficacy while recognizing its role in instilling a culture of discipline within surgical environments. Both experts highlight the importance of maintaining rigorous standards and discipline in operating rooms to prevent infections.



The dialogue continues to cover practical applications, with both professors sharing their techniques and preferences for wound wash-outs and antiseptic usage, culminating in a discussion about the importance of preoperative hygiene practices. They agree on the necessity of widespread preoperative washing routines to combat both MRSA and MSSA infections, prioritizing a disciplined and standardized approach to infection prevention.



The interview concludes with expressions of gratitude for their insights and contributions to the ongoing conversation about improving outcomes in orthopedic surgery.

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