Care Bundles in Surgical Site Infection Prevention: A Narrative Review

Ching, Patrick R.

doi:10.1007/s11908-024-00837-9

Cited by 4 publications

(1 citation statement)

References 116 publications

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“…Many strategies, guidelines, and pathways have been proposed to reduce the risk of developing SSIs in pediatric appendicitis and other conditions. These efforts can be aided by implementing a care bundle 12 , utilizing a combination of practices such as antiseptics and prophylactic antibiotics, intraoperative interventions, and postoperative care details 13 . Our baseline impression is that few published studies have focused on widely available, low-cost, intraoperative interventions to reduce deep/organ-space SSIs with perforated appendicitis in children.…”

Section: Introductionmentioning

confidence: 99%

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Hebballi,

Sutyak,

Broussard

et al. 2024

Preprint

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Objective: Surgical site infections (SSIs), especially deep/organ-space SSIs, are common and serious complications following appendectomy. This review aimed to explore the interventions that have been implemented to reduce the risk of SSIs in pediatric appendicitis patients. Methods: A literature search was performed using PubMed, Cochrane, and Embase databases of studies in English published between January 01, 1973, and April 30, 2023. Studies on pediatric patients (≤ 18 years) with appendicitis that described any interventions aimed at reducing SSIs and reported SSIs as an outcome were included. Results: A total of 56 studies were included in the final scoping review. The interventions included antibiotic stewardship, clinical practice guidelines/pathways, different surgical approaches, timing of appendectomy, irrigation or lavage, use of peritoneal drains, timing of wound closure and management, parenteral nutrition, pain management, and outpatient management. Conclusion: A wide variety of interventions have been studied in pediatric appendicitis patients to reduce the SSI rates. Very few publications have studied low-cost, widely available intraoperative interventions to reduce deep/organ-space SSIs.

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Section: Introductionmentioning

confidence: 99%

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Hebballi,

Sutyak,

Broussard

et al. 2024

Preprint

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The Effect of Using Chlorhexidine Gluconate and Povidone Iodine Solution on the Healing Process Before a Cesarean Section

Doğu,

Tiryaki,

Aksoy

et al. 2024

Journal of PeriAnesthesia Nursing

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Information technologies for supporting prevention, diagnosis and management of surgical site infections in trauma and orthopedic patients

Nazarenko,

Kleimenova,

Dronov

et al. 2024

N.N. Priorov Journal of Traumatology and Orthopedics

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BACKGROUND: Surgical site infections (SSIs) are among the most common preventable healthcare-associated infections and represent a significant socioeconomic burden. Digital technologies, particularly clinical decision support systems, are proved to be effective in enhancing patient safety, but there is limited evidence of their implementation for SSIs prevention and management. AIM: Development of a multifunctional intelligent system on patient safety (ISPS) in traumatology and orthopedic area, particularly for SSI prevention, diagnosis and treatment. MATERIALS AND METHODS: The ISPS for traumatology and orthopedists was implemented at the Federal State Budgetary Institution N.N.Priorov National Medical Research Center of Traumatology and Orthopedics in late 2023— early 2024. The ISPS includes two end-user systems: 1)analytical and authoring (ISPS-Manager), designed for knowledge base experts who generate scenarios; 2)clinical, designed to enter patient data and view recommendations. RESULTS: The scenario for SSI prevention has been developed based on the guidelines of the National Association of Healthcare Associated Infection Control Professionals. It includes 11recommendations for the preoperative stage, 30 for the peri- and intraoperative stages, 33recommendations for the prevention of SSI in the operating room and 7 for the postoperative period. The surgical antimicrobial prophylaxis scenario has 24recommendations. Decision making algorithms for the SSI management are based on the recommendations of the American Association of Orthopaedic Surgeons (AAOS) and take into account 6 factors, giving 264different clinical situations, for which 9 decision options are provided. CONCLUSIONS: The generated protocols can serve not only to support decision-making on the patient management, but also as a tool for monitoring compliance with recommendations for the SSI prevention and treatment. Further prospects for the development of the ISPS in part of the diagnosis and treatment of SSI are associated with the use of artificial intelligence technologies to support the processes of wound infection diagnosing and treatment.

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Care Bundles in Surgical Site Infection Prevention: A Narrative Review

Cited by 4 publications

References 116 publications

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

The Effect of Using Chlorhexidine Gluconate and Povidone Iodine Solution on the Healing Process Before a Cesarean Section

Information technologies for supporting prevention, diagnosis and management of surgical site infections in trauma and orthopedic patients

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