Association of Pre-Operative Full-Body Surgical Preparation with Reduced Incidence of Surgical Site Infection at a Large, Urban Safety-Net Medical Center
| Autor: | Rachel E. Sargent, Florence V. Dalton, Stephen F. Sener, Dolores M. Gibbs, Robert A Olson, Rodolfo Amaya, Jace Jacobsen, Deborah Kahaku, Kari Cole |
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| Rok vydání: | 2022 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty business.industry Incidence Incidence (epidemiology) General surgery Gynecologic oncology Pre operative Infectious Diseases Risk Factors Preoperative Care Surgical site Orthopedic surgery Humans Surgical Wound Infection Medicine Female Surgery Health Facilities Surgical preparation business Surgical site infection Retrospective Studies Skin preparation |
| Zdroj: | Surgical Infections. 23:1-4 |
| ISSN: | 1557-8674 1096-2964 |
| Popis: | Background: Surgical site infections (SSIs) continue to represent a substantial source of morbidity, mortality, and healthcare costs. The purpose of this study was to determine the effect of implementing a protocol using home pre-operative surgical preparation on the SSI rate at a large, urban safety-net medical center. Patients and Methods: From July through December 2020, Nose-to-Toes® (N2T; Sage Products-Stryker Corporation, Cary, IL) full-body preparation was applied by patients at home on the morning of scheduled surgical procedures. This study was a single-institution, retrospective observational analysis to determine the rates of SSI ≤30 days after an operation. Patients having skin preparation during 2020 (post-N2T) were compared with patients having the same operation during 2019 without having skin preparation (pre-N2T). Results: For gynecology, 10 (7.4%) of 135 pre-N2T and three (2.2%) of 135 post-N2T patients had SSIs. For surgical and gynecologic oncology, 13 (15.1%) of 86 pre-N2T and four (4.7%) of 86 post-N2T patients had SSIs. For orthopedics, four (4.3%) of 94 pre-N2T and zerp of 94 post-N2T patients had SSIs. Overall, 27 (8.6%) of 315 pre-N2T and seven (2.2%) of 315 post-N2T patients had SSIs (p = 0.0004). Conclusions: The implementation of pre-operative full-body preparation was associated with a substantial reduction in the incidence of SSI. |
| Databáze: | OpenAIRE |
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