June 1998 AAOS Report

Board approves Advisory Statement on infection, human tissue banks

The Board of Directors, meeting on May 22, approved an Advisory Statement on the Use of Prophylactic Antibiotics in Orthopaedic Medicine and the Emergence of Vancomycin Resistant Bacteria. The Academy recommends that vancomycin should be reserved for the treatment of serious infection with beta-lactam resistant organisms or for treatment of infection in patients with life-threatening allergy to beta-lactam antimicrobials. The Academy also recommends hand washing with antibacterial soaps to prevent nonsocomial spread, and isolation of patients infected with strains of vancomycin resistant enterococcus, vancomycin resistant strains of S. epidermidis or S. aureus demonstrating intermediate resistance to vancomycin. The board also approved an Advisory Statement on Efficacy of Banked Human Tissues which endorses stringent screening for the detection of disease in donors of banked human tissues. The Academy supports the use of banked human tissues when autograft tissue is not available in sufficient quantity. An Opinion of Ethics on the Care and Treatment of the Medically Underserved also was approved. The Advisory Statements can be found on the Academy's home page at www.aaos.org in the "Library" section or the fax-on-demand system at (800) 999-2939, document numbers 1017 and 1016, respectively.

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