To compare post-operative wound complications in patients randomized to normal saline versus Irrisept solution and any other adverse reactions from the solution.
Wound complications represent a significant risk factor in spinal surgery, particularly in complex multilevel procedures. Surgical site infections (SSI) are the most common health care-associated infection, accounting for 31% of all hospitalized patients with a health care-associated infection. The reported incidence of SSIs following spine surgery ranges from 0.2% to 18.8%. In one study, each episode of wound infection following spine procedure contributed to a mean increase in the cost of care by $4,067 compared to a non-complicated case. The bacteria can adhere to the implants and tissues to create biofilm made by polysaccharide matrix which makes it challenging to clear the infection. Different irrigation techniques and solutions have been utilized to help limit post-operative wound complications. No studies have compared Irrisept solution to normal saline to see if there is a difference in wound complications for posterior spine surgeries.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Control group will get normal saline for irrigation throughout the case.
Intervention group will get Irrisept irrigation (0.05% CHG in sterile water) throughout the case.
Missouri Orthopaedic Institute
Columbia, Missouri, United States
Center for Disease Control (CDC)-defined 90-day surgical site infection incidence
Comparing post-operative surgical site infection incidence between groups for 90 days post-operative using chi-square test.
Time frame: 90 days after surgery
Wound healing
Comparing post-operative wound healing incidence between groups for 90 days post-operative using t-Test
Time frame: 90 days after surgery
Wound complications
Comparing post-operative wound complications incidence between groups for 90 days post-operative using chi-square test.
Time frame: 90 days after surgery
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