CDC rankings. IA: Strongly recommended for implementation and supported by well-designed experimental, clinical, or epidemiological studies. IB: Strongly recommended for implementation and supported by some experimental, clinical, or epidemiological studies and strong theoretical rationale. II: Suggested for implementation and supported by suggestive clinical or epidemiological studies or theoretical rationale.
|Optimize glucose control||IB|
|Discontinue tobacco use||IB|
|If hair is removed, use electric clippers immediately before surgery||IA|
|Use prophylactic antibiotic therapy||IA|
|Vancomycin should not be used routinely||IB|
|Use appropriate preparation technique and agent selection for skin antisepsis||IB|
|Maintain positive pressure ventilation in the operating room (OR)||IB|
|Keep the OR doors closed during procedure||IB|
|Limit OR traffic||II|
|Handle tissue gently and eradicate dead space||IB|
|Use occlusive sterile dressing for 24–48 hours postoperatively||IB|
|If a dressing change is required, use:|
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- The Neurostimulation Appropriateness Consensus Committee (NACC) Recommendations for Infection Prevention and Management.Neuromodulation. 2017; 20 (DOI: 10.1111/ner.12565): 31-50