Checklist to Prevent MRSA Surgical Site Infections

Completed · Not applicable

Conditions studied: Surgical Site Infection

In brief

The goals of this project are 1) to assess the effectiveness and cost-effectiveness of the checklist to prevent MRSA SSIs among Veterans undergoing TJA or cardiac surgery, and 2) to assess barriers and facilitators to checklist implementation. Hypotheses: 1. The SSI checklist will be effective at reducing MRSA SSIs among total joint arthroplasty and cardiac surgery patients. 2. Implementation of the checklist will be associated with an overall reduction in SSIs caused by all pathogens. 3. The SSI Checklist will be cost-saving since it will prevent many expensive SSIs. 4. Preoperative MRSA testing will be a modifiable barrier to implementing the SSI checklist.

Key facts

Study ID

NCT02216227

Run by

VA Office of Research and Development

People needed

23005

Starts

2014-04-01

Expected to finish

2021-02-28

Last updated by the study team

2026-03-31

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Retrospective Control Group Inclusion Criteria:
• Patients identified in VA databases (e.g. VASQIP) by ICD-9 procedure codes as undergoing total joint arthroplasty or cardiac surgery at the 10 intervention VA Medical Centers during the 5 year preintervention period (2008-2013)
• Concurrent Non-equivalent Control Group Inclusion Criteria:
• Patients identified in VA databases (e.g. VASQIP) by ICD-9 procedure codes as undergoing total joint arthroplasty or cardiac surgery at VA Medical Centers not included in the intervention group during the 8 years evaluated (5 years pre-intervention to match with the retrospective control group and 3 years of the intervention.)

You may not qualify if…

• For All Patient Groups:
• Have an ICD-9 diagnosis code consistent with endocarditis
• Have any documented infection before the surgical procedure
• Undergo cardiac transplants or cardiac procedures performed using the percutaneous or thoracotomy approach
• Undergoing hip and knee revisions
• Documented allergies to mupirocin

Where it is running

• Miami VA Healthcare System, Miami, FL — Miami, Florida, United States
• Iowa City VA Health Care System, Iowa City, IA — Iowa City, Iowa, United States
• Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD — Baltimore, Maryland, United States
• VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA — Boston, Massachusetts, United States
• VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan, United States
• Minneapolis VA Health Care System, Minneapolis, MN — Minneapolis, Minnesota, United States
• Omaha VA Nebraska-Western Iowa Health Care System, Omaha, NE — Omaha, Nebraska, United States
• VA Portland Health Care System, Portland, OR — Portland, Oregon, United States
• South Texas Health Care System, San Antonio, TX — San Antonio, Texas, United States
• VA Salt Lake City Health Care System, Salt Lake City, UT — Salt Lake City, Utah, United States
• William S. Middleton Memorial Veterans Hospital, Madison, WI — Madison, Wisconsin, United States

Full record on ClinicalTrials.gov

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