[Skip to Content]
[Skip to Content Landing]
Views 259
Citations 0
Comment & Response
March 4, 2020

Use of Disposable Perioperative Jackets and Surgical Site Infections

Author Affiliations
  • 1New York University Wagner School of Public Service, New York University Langone Health, New York University, New York
  • 2Anesthesiology, Yale University, New Haven, Connecticut
  • 3Epidemiology in Environmental Health Sciences, Yale University, New Haven, Connecticut
  • 4Anesthesiology, University of Utah, Salt Lake City
  • 5Bioengineering, University of Utah, Salt Lake City
JAMA Surg. Published online March 4, 2020. doi:10.1001/jamasurg.2019.6374

To the Editor In their article, “Association of Disposable Perioperative Jackets with Surgical Site Infections in a Large Multicenter Health Care Organization,”1 Stapleton et al performed a retrospective analysis and found no significant difference in the incidence of surgical site infection (SSI) after clean procedures, 26 months before and 26 months after implementation of a policy that required wearing disposable, long-sleeved jackets in all surgical areas at a 12-hospital health care organization. The results are not surprising. Comprehensive infection control policies implemented since the late 1800s have greatly reduced bacteria in the surgical field and dramatically reduced SSIs.2 Farach et al3 estimated a sample size of almost 500 000 would be required to demonstrate a 10% reduction in SSI, almost 10 times the sample size in the Stapleton et al study.1 The cost of the new policy was enormous: more than $1.7 million for more than 2 million disposable jackets.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×