Sequential irrigation with common detergents: a promising new method for decontaminating orthopedic wounds

Am J Orthop (Belle Mead NJ). 1999 Mar;28(3):156-60.

Abstract

This investigation sought to determine the capacity of irrigation solutions in decontaminating orthopedic wounds challenged with a polymicrobial inoculum. Rats were divided into two groups, a control group and a treatment group. After creation of a dorsolumbar incision and placement of a wire through the spinous process, rats were inoculated with Staphylococcus aureus and Pseudomonas aeruginosa. Wounds were irrigated with control or treated solutions. At 2 weeks, cultures were obtained. There were statistically significant differences between groups regarding total number of culture positive sites (P < 0.001), culture-positive animals (P = 0.02), and quantitative cultures (P < 0.02). Sequential irrigation with surfactants lowers bacteria counts recovered from polymicrobial wounds.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Analysis of Variance
  • Animals
  • Chi-Square Distribution
  • Colony Count, Microbial
  • Detergents / administration & dosage*
  • Disease Models, Animal
  • Orthopedic Procedures / adverse effects
  • Pseudomonas Infections / therapy*
  • Rats
  • Rats, Sprague-Dawley
  • Reference Values
  • Sodium Chloride / administration & dosage
  • Solutions
  • Staphylococcal Infections / therapy*
  • Surgical Wound Infection / etiology
  • Surgical Wound Infection / therapy*
  • Therapeutic Irrigation / methods*
  • Treatment Outcome
  • Wound Healing

Substances

  • Detergents
  • Solutions
  • Sodium Chloride