This article details steps an Indiana University surgeon is taking with his patients for preoperative preparation to decrease complications and improve outcomes. You can find the description HERE. Centered on immune boosting, lung training and infection prevention they have noted shorter stays and fewer complications. I know in the Department of Orthopaedic Surgery at Washington University School of Medicine at Barnes-Jewish Hospital we have adopted a much more aggressive presurgical cleansing and showering program with wipes and antibacterial soaps for showers that appears to have significantly improved our joint replacement infection rates. We will be considering adopting more of these measures to help improve other outcome measures
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