How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty

Institute for Healthcare Improvement
Cambridge, Massachusetts, USA

Last updated: November 2012

How to cite this document:
How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty. Cambridge, MA: Institute for Healthcare Improvement; 2012. (Available at

This How-to Guide describes key evidence-based interventions for preventing surgical site infection for patients undergoing hip and knee replacement surgery, describes how to implement these interventions, and recommends measures to gauge improvement.

This How-to Guide was initially created as part of the Institute for Healthcare Improvement's Project JOINTS initiative, funded by the federal government.

Please note: Clinical content evolves rapidly as the scientific evidence-base changes. The content of this report was last updated November 2012.

Therefore, this report may not reflect scientific changes that have taken place since that time and may not be aligned with the most recent clinical evidence and practice guidelines. The information provided in this report is for informational purposes only, and is not diagnostic or formal clinical guidance. IHI expressly disclaims any and all representations and warranties with respect to the content of the report, including without limitation any representation or warranty with respect to the accuracy of such information or its fitness for a particular purpose. Further, IHI expressly disclaims any obligation to update this report. By downloading this report, you agree, for yourself and on behalf of your organization, if any, that IHI expressly disclaims and shall have no exposure for any and all liabilities, losses, or damages of any type or nature, regardless of the theory pursuant to which the claim for such liabilities, losses, or damages are brought, and whether such liabilities, losses, or damages are direct, indirect, incidental, special, punitive, or consequential.

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