A Quality Improvement Approach to Reducing the Caesarean section Surgical Site Infection Rate in a Regional Hospital.

Autor:	O'Hanlon M; Microbiology Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., McKenna C; Pharmacy Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Carton E; Quality Improvement Group, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Diviney D; Anaesthesia Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Costello MR; Theatre Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., O'Sullivan L; Maternity Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Fitzsimons J; Quality Improvement Group, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Toland L; Quality Improvement Group, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Dornikova G; Microbiology Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Curran R; Microbiology Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., McCann C; Maternity Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., O'Sullivan L; Maternity Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Doherty T; Infection Control Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., Crowley C; General Manager Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth., O'Coigligh S; Maternity Department, Our Lady of Lourdes Hospital, Drogheda, Co. Louth.
Jazyk:	angličtina
Zdroj:	Irish medical journal [Ir Med J] 2016 Sep 09; Vol. 109 (8), pp. 450. Date of Electronic Publication: 2016 Sep 09.
Abstrakt:	Surgical site infection (SSI) rates are used extensively by hospitals as a basis for quality improvement. A 30-day post-discharge SSI programme for Caesarean section operations has been implemented in Our Lady of Lourdes Hospital since 2011. It has been shown that skin antisepsis and antibiotic prophylaxis are key factors in the prevention of SSI. Using quality improvement methodology, an infection prevention bundle was introduced to address these two factors. Skin antisepsis was changed from povidone-iodine to chlorhexidine-alcohol. Compliance with choice of antibiotic prophylaxis increased from 89.6% in 2014 to 98.5% in 2015. Compliance with timing also improved. The SSI rate of 7.5% was the lowest recorded to date, with the majority of SSIs (64%) diagnosed after hospital discharge. The level of variation was also reduced. However, the continued presence of variation and possibility of lower infection rates from the literature imply that further improvements are required.
Databáze:	MEDLINE
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