revision surgery was not reduced in cases
performed using either or both of these
interventions. 24 In addition, a recent systematic review included eight studies that
evaluated the effect of LAF on SSI rates
in patients who underwent knee or hip
replacement surgery. In that study, the
preponderance of the evidence pointed
toward an increased SSI rate with LAF,
with summary odds ratios of 1. 36 and
1. 71 for knee prosthesis and hip prosthesis, respectively. 25
Although our study demonstrated that
young surgeons oppose the recent surge
of OR attire-related regulations (personal
communication with Sara Morse, Manager,
Legislative and Political Affairs, ACS Division of Advocacy and Health Policy, May
2016), there remain important opportunities for improved conduct in this regard.
Unfortunately, it is fairly commonplace
to see surgeons and other members of the
OR team wearing surgical scrubs outside
the hospital and in public places. 26-28 Such
conduct raises questions in the minds of
patients as to the cleanliness of the attire
worn inside the OR. In addition, unclean
personal hospital garb, such as white coats,
cloth scrub caps, and OR shoes, is often
observed throughout the hospital. Although
no studies to date prove that this practice is
detrimental to our patients, this behavior
fails the “sniff test” and is unprofessional.
Moreover, research clearly shows that
patients’ perceptions of quality of care, and
their trust and confidence in their surgeon,
is influenced by his or her appearance. 29, 30
Thus, while AORN’s guidelines are overly
intrusive and unlikely to improve patient
safety, surgeons are encouraged to play a
leadership role in restricting OR attire to
the perioperative environment.
continued on next page
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12. Summers MM, Lynch P, Black T. Hair as a reservoir of
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