Evaluación de un paquete de medidas para la prevención de la infección de localización quirúrgica en cirugía colorrectal

Pérez-Blanco, Verónica; Garcı́a-Olmo, Damián; Maseda-Garrido, Emilio; Nájera-Santos, María Cruz; Garcı́a-Caballero, Juan

doi:10.1016/j.ciresp.2014.12.003

Cited by 19 publications

(5 citation statements)

References 27 publications

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“…Although implementation of the plan reduced the incidence of SSI in our center, mean hospital length of stay showed no appreciable changes. Pérez Blanco 27 , in a study carried out in our setting, obtained a reduction in mean hospital length of stay and surgical infection from 27.5% to 16.9% (p > 0.05) after assessing a protocol of preventive measures in colorectal surgery patients. In this sense, Izquierdo Blasco et al 28 , in a quasi-experimental study in cardiac surgery pediatric patients from a Spanish hospital, observed a decrease in SSI from 10.9% to 1.9% (p < 0.05).…”

Section: Discussionmentioning

confidence: 78%

“…As a consequence of the study, different measures were taken in our hospital, including communicating the results to responsible doctors in order to increase compliance with these recommendations, since there is evidence that an evaluation of procedures based on knowledge of the results by surgeons (feedback) can significantly decrease the rates of infection 27 .…”

Section: Discussionmentioning

confidence: 99%

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Effect of a Plan for Quality Improvement and Clinical Safety in the incidence of surgical site infections in appendectomy. A quasi-experimental study

Del-Moral-Luque¹,

Sánchez-Santana²,

Gil-Yonte³

et al. 2019

CIRUE

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Objective: Surgical site infections can be prevented. Control programs based on care bundle have proven to be effective in reducing its incidence. The objective of this study was to assess the effectiveness of a Plan for Quality Improvement and Clinical Safety in preventing the incidence of surgical site infection in patients undergoing appendectomy. Method: A quasiexperimental study was designed for analysis before and after the introduction of a Plan for Quality and Clinical Safety. Patients undergoing appendectomy were included. The incidence of surgical site infection was studied within 30 days from the time of surgery (maximum incubation period of surgical site infection). The effectiveness of the intervention was evaluated using the odds ratio (OR) adjusted with a logistic regression model. Results: A total of 606 patients were included, of which 267 were operated in the period 2009-2010 (before the plan) and 339 in 2012-2013 (after the plan). The incidence of surgical site infection decreased after the plan from 6 to 5.6% (OR: 0.72; 95% confidence interval: 0.33-1.56; p = 0.839). There was greater compliance of antibiotic prophylaxis, preoperative preparation and adherence to hand hygiene after the introduction of the measures. Conclusions: Although the reduction in the incidence of surgical site infection after the measures adopted did not show statistical significant differences, important progress has been made in the compliance of antibiotic prophylaxis, adherence to hand hygiene and in the preoperative preparation.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Effect of a Plan for Quality Improvement and Clinical Safety in the incidence of surgical site infections in appendectomy. A quasi-experimental study

Del-Moral-Luque¹,

Sánchez-Santana²,

Gil-Yonte³

et al. 2019

CIRUE

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“…Patients were monitored during the 30 days postoperative period. Some studies limit SSI monitoring to the period of hospitalization rather than 30 days after surgery, which may underestimate its incidence 14,15 .…”

Section: Discussionmentioning

confidence: 99%

Incidencia de infección quirúrgica y factores de riesgo en cirugía colorrectal. Estudio de cohorte prospectivo

Páramo-Zunzunegui

Alonso-García

Rodríguez-Villar

et al. 2021

CIRU

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Objective:The objective was to measure the incidence of surgical site infection (SSI) and identify risk factors, in patients undergoing elective surgery of the colon and rectum. Materials and methods: A prospective cohort study was performed from January 2017 to December 2018. Results: A total of 130 patients were studied. The cumulative incidence of SSI was 12.3%. The 56.25% were superficial wound infections and the 31.25%, organ-space infection. The risk factors significantly associated with SSI were the non-administration of pre-operative oral nutrition, diabetes mellitus, heart disease, symptomatic state at the diagnosis of colorectal cancer (CRC), and ≥ 2 altered nutritional biochemical parameters at diagnosis.

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“…Aunque la aplicación del plan redujo la incidencia de ISQ en nuestro centro, la estancia media se mantuvo sin cambios apreciables. Pérez Blanco, et al 27 , en un estudio realizado en nuestro entorno, obtuvieron una reducción de la estancia media y de la infección quirúrgica del 27.5 al 16.9% (p > 0.05) tras evaluar un protocolo de medidas preventivas en pacientes de cirugía colorrectal. En este sentido, Izquierdo Blasco, et al 28 , en un estudio cuasi-experimental en pacientes pediátricos de cirugía cardiaca en un hospital español, observaron una disminución de ISQ del 10.9% al 1.9% (p < 0.05).…”

Section: Discussionunclassified

“…Como consecuencia del estudio se tomaron diversas medidas en nuestro hospital, entre ellas comunicar los resultados a los médicos responsables para incrementar el cumplimiento de estas recomendaciones, ya que hay evidencia de que una evaluación de los procedimientos basada en el conocimiento de los resultados (feedback) por los cirujanos puede disminuir de forma significativa las tasas de infección 27 .…”

Section: Discussionunclassified

Efecto de un Plan de Mejora de Calidad y Seguridad Clínica en la incidencia de infección de sitio quirúrgico en apendicectomía. Estudio cuasi-experimental

Del-Moral-Luque¹,

Sánchez-Santana²,

Gil-Yonte³

et al. 2018

CIRU

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Evaluación de un paquete de medidas para la prevención de la infección de localización quirúrgica en cirugía colorrectal

Cited by 19 publications

References 27 publications

Effect of a Plan for Quality Improvement and Clinical Safety in the incidence of surgical site infections in appendectomy. A quasi-experimental study

Effect of a Plan for Quality Improvement and Clinical Safety in the incidence of surgical site infections in appendectomy. A quasi-experimental study

Incidencia de infección quirúrgica y factores de riesgo en cirugía colorrectal. Estudio de cohorte prospectivo

Efecto de un Plan de Mejora de Calidad y Seguridad Clínica en la incidencia de infección de sitio quirúrgico en apendicectomía. Estudio cuasi-experimental

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