Evaluation of a Preventive Surgical Site Infection Bundle in Colorectal Surgery

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

doi:10.1016/j.cireng.2014.12.016

Cited by 12 publications

(23 citation statements)

References 27 publications

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“…The main characteristics of all 40 included studies are presented in Table 2. Twenty-five studies were performed in the US [36, 37, 39, 45-52, 55, 56, 58-60, 62, 63, 65, 67, 69-73], two each in Australia [34,54], Canada [41,42], the Netherlands [38,44], Spain [40,64], and the UK [35,66], and one each in Germany [68], Saudi Arabia [53], Singapore [57], Switzerland [61], and Qatar [43]. Thirty-six studies were single-center studies, and four studies were performed in more than one hospital [50,65,66,69].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…In some of these studies, the compliance rates were reported in narrative or graphical form only, which made it difficult to determine the exact rates. In addition, from those studies that reported explicit baseline and cohort compliance rates, 13 studies reported rates for individual measures, while 7 presented global rates for all clinical measures [35,38,42,53,54,62,64]; only two studies reported both types of rates [34,63]. Thus, further analyses on the associations between implementation interventions and compliance with clinical interventions are omitted.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…In particular, the compliance rates were incompletely reported. In 8 of 9 studies that explicitly reported global baseline and cohort compliance rates, the global compliance rates increased [34,35,38,42,53,[62][63][64]. Increases ranged from 15.2 to 70% (mean value: 31.7%).…”

Section: Effectiveness Of Implementation Interventionsmentioning

confidence: 99%

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Implementation interventions in preventing surgical site infections in abdominal surgery: a systematic review

Tomsic

Heinze

Chaberny

et al. 2020

BMC Health Serv Res

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Background: Surgical site infections (SSIs) are highly prevalent in abdominal surgery despite evidence-based prevention measures. Since guidelines are not self-implementing and SSI-preventive compliance is often insufficient, implementation interventions have been developed to promote compliance. This systematic review aims to identify implementation interventions used in abdominal surgery to prevent SSIs and determine associations with SSI reductions. Methods: Literature was searched in April 2018 (Medline/PubMed and Web of Science Core Collection). Implementation interventions were classified using the implementation subcategories of the EPOC Taxonomy (Cochrane Review Group Effective Practice and Organisation of Care, EPOC). Additionally, an effectiveness analysis was conducted on the association between the number of implementation interventions, specific compositions thereof, and absolute and relative SSI risk reductions. Results: Forty studies were included. Implementation interventions used most frequently ("top five") were audit and feedback (80% of studies), organizational culture (70%), monitoring the performance of healthcare delivery (65%), reminders (53%), and educational meetings (45%). Twenty-nine studies (72.5%) used a multimodal strategy (≥3 interventions). An effectiveness analysis revealed significant absolute and relative SSI risk reductions. E.g., numerically, the largest absolute risk reduction of 10.8% pertained to thirteen studies using 3-5 interventions (p < .001); however, this was from a higher baseline rate than those with fewer or more interventions. The largest relative risk reduction was 52.4% for studies employing the top five interventions, compared to 43.1% for those not including these. Furthermore, neither the differences in risk reduction between studies with different numbers of implementation interventions (bundle size) nor between studies including the top five interventions (vs. not) were significant.

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Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Implementation interventions in preventing surgical site infections in abdominal surgery: a systematic review

Tomsic

Heinze

Chaberny

et al. 2020

BMC Health Serv Res

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“…A compelling body of evidence demonstrates the effectiveness of surgical care bundles in reducing the risk of SSI after colorectal surgery . A 2017 meta‐analysis reviewed 23 studies (17,557 patients) that reported outcomes from the use of surgical care bundles .…”

Section: A Bundle To Standardize the Incision Closure Processmentioning

confidence: 99%

“…A compelling body of evidence demonstrates the effectiveness of surgical care bundles in reducing the risk of SSI after colorectal surgery. 10,11,18,[47][48][49][50] A 2017 meta-analysis reviewed 23 studies (17,557 patients) that reported outcomes from the use of surgical care bundles. 51 The researchers noted an SSI risk reduction of 40% (P < .001), with a 44% reduction of superficial SSIs (P < .001) and a 34% reduction of organ and space SSIs (P = .048).…”

Section: A Bundle To Standardize the Incision Closure Processmentioning

confidence: 99%