Implementation of evidence-based practices for surgical site infection prophylaxis: results of a pre- and postintervention study

Journal of the American College of Surgeons
Shawn S ForbesRichard F McLean

Abstract

Although evidence-based guidelines for best practices pertaining to surgical site infection (SSI) prophylaxis exist, the feasibility of implementing such practices remains to be demonstrated outside of a controlled clinical trial. This study was designed to assess the safety and feasibility of implementing evidence-based care practices to prevent SSIs. A prospective, double-cohort (pre- and postintervention) trial in elective, general surgery patients was conducted. All patients undergoing elective, major colorectal or hepatobiliary operations were enrolled. Postintervention cohort patients were exposed to new strategies to improve antibiotic administration times, perioperative normothermia rates, and perioperative glucose control. They were compared with the preintervention cohort, which received standard practice at the time. Outcomes evaluated include timing of antibiotic administration, perioperative temperatures, and postoperative glucose levels. SSI rates between cohorts were also compared. A total of 208 patients were enrolled. The proportion of patients receiving their preoperative antibiotics within 60 minutes improved from 5.9% to 92.6% (p < 0.001); perioperative normothermia rates improved from 60.5% to 97.6% (p < 0....Continue Reading

References

Jan 30, 1992·The New England Journal of Medicine·D C ClassenJ P Burke
Feb 5, 1999·AORN Journal·G HudsonD Heichemer
Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
Dec 2, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·K B KirklandD J Sexton
Jan 5, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·R LathamC S Thomas
Jan 17, 2002·The New England Journal of Medicine·G van den BergheR Bouillon
Jan 29, 2002·Anesthesia and Analgesia·Ernst-Peter HornJochen Schulte am Esch
May 11, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Christopher S HollenbeakVictoria J Fraser
May 15, 2003·The Journal of Antimicrobial Chemotherapy·M E E van KasterenI C Gyssens
Jul 5, 2003·BMJ : British Medical Journal·Dave DavisMerrick Zwarenstein
Mar 17, 2004·The American Journal of Medicine·Robert O Bonow, Mihai Gheorghiade
Apr 15, 2004·Annals of Surgery·Robert L SmithEugene F Foley
Jul 1, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Dale W BratzlerUNKNOWN Surgical Infection Society
Jul 10, 2004·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Sarah A McGarryKeith S Kaye
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Alan J GarberUNKNOWN American College of Endocrinology Task Force on Inpatient Diabetes Metabolic Control

❮ Previous
Next ❯

Citations

Dec 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Shawn S Forbes, Richard F McLean
Apr 27, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jennifer J ShinSteven D Rauch
Dec 27, 2011·Injury·M R Tatterton, S Homer-Vanniasinkam
Apr 9, 2010·Nursing Management·Lisa M Cole
May 19, 2009·Current Opinion in Infectious Diseases·Anna L Casey, Tom S J Elliott
Jan 1, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Peer Wille-Jørgensen
May 24, 2012·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Cagla EskiciogluAvery B Nathens
Dec 21, 2013·The Journal of Hospital Infection·B A NormanB Y Lee
Jul 3, 2013·American Journal of Surgery·Russell B HawkinsKuoJen Tsao
Nov 21, 2012·Journal of the American College of Surgeons·Carolyn NessimAndy Smith
May 29, 2012·Journal of the American College of Surgeons·Elizabeth C WickMartin A Makary
Oct 1, 2011·Advances in Surgery·Nestor F Esnaola, David J Cole
Mar 29, 2011·Enfermedades infecciosas y microbiología clínica·Gil Rodríguez-CaravacaUNKNOWN Grupo de Trabajo INCLIMECC de la Comunidad de Madrid
Jun 7, 2011·The Journal of Hospital Infection·S M McHughH Humphreys
Apr 6, 2016·Clinical Neurology and Neurosurgery·Benjamin M DaviesHiren C Patel
Sep 18, 2013·Journal of the American College of Surgeons·Shauna M LevyLillian S Kao
Jan 27, 2015·Cirugía española·Verónica Pérez-BlancoJuan García-Caballero
Apr 5, 2011·Journal of Vascular Surgery·David Yu GreenblattMatthew W Mell
Oct 15, 2013·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Fatma BozkurtSalih Hoşoglu
Dec 5, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J P FischerS J Kovach
Apr 5, 2016·Expert Review of Medical Devices·Melissa NaimanErik Kulstad
Feb 18, 2017·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Panagiotis KiekkasDiamanto Aretha
Jul 24, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jenny X ChenJennifer J Shin
Feb 12, 2019·Surgical Infections·Fabian GrassMartin Hübner
Feb 23, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Promise AriyoSean Berenholtz
Jun 11, 2009·The Journal of Clinical Endocrinology and Metabolism·Wylie C HembreeUNKNOWN Endocrine Society
May 15, 2015·Annals of Surgical Oncology·Maureen V HillRichard J Barth
Mar 13, 2014·International Wound Journal·David J LeaperCharles E Edmiston
Nov 13, 2010·British Journal of Nursing : BJN·Ann-Marie Aziz, Barbara Isalska
May 12, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Aurora E Pop-VicasNasia Safdar
Mar 21, 2020·BMC Health Services Research·Ivonne TomsicThomas von Lengerke

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Journal of Surgical Education
Brent S IzuPaula M Termuhlen
The British Journal of Surgery
J Hardman, G L Carlson
© 2022 Meta ULC. All rights reserved