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Comment & Response
July 22, 2020

Surgical Jacket and Bouffant Use and Surgical Site Infection Risk

Author Affiliations
  • 1Division of Trauma and Acute Care Surgery, Department of Surgery, Kendall Regional Medical Center, Miami, Florida
JAMA Surg. Published online July 22, 2020. doi:10.1001/jamasurg.2020.2175

To the Editor We enthusiastically read the Wills et al article, “Association of Surgical Jacket and Bouffant Use With Surgical Site Infection Risk.”1 The authors have taken on a timely and important topic of study. In 2015, the Association of periOperative Registered Nurses (AORN) adopted an approach leading to a long-sleeve surgical jacket for those not scrubbed and bouffant or surgical hood.2 The authors conducted a single-center, retrospective, sequential cohort study to investigate whether a jacket and bouffant vs surgical skull cap in the operating room was associated with a decreased incidence of surgical site infections (SSIs). They concluded that the use of surgical jackets and bouffants was ineffective at decreasing infection rates. We have several comments and concerns that we believe warrant further attention.

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