Optimum Operating Room Environment for the Prevention of Surgical Site Infections

Gaines, Sara; Luo, James; Gilbert, Jack A.; Zaborina, Olga; Alverdy, John C.

doi:10.1089/sur.2017.020

Cited by 28 publications

(20 citation statements)

References 32 publications

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“…Throughout the literature, SSIs were associated with factors including advanced age, malnutrition, metabolic diseases, smoking, obesity, hypoxia, and immune-suppression. Moreover, factors like application of skin antiseptics, preoperative shaving, antibiotic prophylaxis, preoperative skin preparation, inadequate sterilization of instruments, surgical drains, surgical hand scrubs, and dressing techniques were among the most frequently reported risk factors [11] [12]. The most critical issue in preventing surgical site infections is the entire and absolute compliance of health professionals with the recommendations in the guidelines [13] [14].…”

Section: Introductionmentioning

confidence: 99%

Compliance and Barriers Facing Nurses with Surgical Site Infection Prevention Guidelines

Mohsen¹,

Riad²,

Badawy³

2020

OJN

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Background: Surgical Site Infection (SSI) is defined as infection that occurring within 30 days after surgical procedure or within a year of implantation of prosthesis. Surgical Site Infection can happen in up to 30% of surgical procedures and records for up to 14% of Hospital Acquired Infection (HAIs). Aim of the Study: The aim of this study was to assess levels of nurse's Compliance; knowledge and practice regarding prevention of surgical site infection Guidelines and identify the barriers facing nurses' compliance with surgical site infection prevention Guidelines. Design: Cross sectional descriptive study design self-reported survey. Settings: Data was collected from surgical departments from selected Menoufia Governorate Hospitals, Egypt. Sample: A large convenience sample of 450 nurses was selected. Initially 600 questionnaires were distributed, of which only 400 returned completed, a response rate of 66.6%. Tools: was comprised of the: 1) Pre-designed structured questionnaire to assess nurses' socio-demographic characteristics' and Nurses' knowledge, 2) Likert-scale: to assess nurses' compliance, nurses' practice and nurses' barriers facing nurses with surgical site infection prevention guidelines. Study period: The study was conducted from July to November 2019 in the selected hospitals. Results: nurses' compliance mean scores were in low level with a mean of 13.01, it is clear that most of the nurses have poor knowledge, most of the nurses have poor practice about surgical site infection, concerning the most barriers of compliance facing nurses with surgical site infection prevention guidelines, were lack of a professional model, having no enough time, and some measures for the prevention of surgical site infection are not nurses' responsibilities. Conclusions: Nurses working in the surgical related wards reported a low level of knowledge, practice and compliance regarding the prevention of surgical site infection guidelines. The most barriers of compliance with surgical site infection prevention guidelines that reported by nurses were, lack of a professional model, nurses do not have enough time,

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Section: Introductionmentioning

confidence: 99%

Compliance and Barriers Facing Nurses with Surgical Site Infection Prevention Guidelines

Mohsen¹,

Riad²,

Badawy³

2020

OJN

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“…OR infection is the most critical and potentially the most dangerous component of nosocomial infections [1,5,8,9]. Therefore, effective and stringent infection prevention management during surgery is extremely important for the prevention of OR and even nosocomial infections.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of infection control pathway in reducing postoperative infections in patients undergoing neurosurgery

Dong

Yuan

Ren

et al. 2020

J Infect Dev Ctries

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Introduction: The environment of the operating room (OR) is closely related to the postoperative complications of patients, and it is necessary to study, to what extent, the stringent management of the OR can reduce postoperative complications. Methodology: 426 patients who underwent surgery between January 2016 and December 2017 were selected from two class-100 laminar flow ORs of equivalent area, and were divided into an experimental group and a control group. Results: The experimental group had significantly lower total air-borne bacterial count in the OR than the control group 10 minutes before surgery (6.21 ± 4.14 vs. 11.58 ± 5.36 CFU/cm3), 10 minutes (15.67 ± 6.21 vs. 20.83 ± 5.78 CFU/cm3), 30 minutes (27.34 ± 8.18 vs. 39.56 ± 7.86 CFU/cm3) and 60 minutes (43.62 ± 7.66 vs. 51.63 ± 8.43 CFU/cm3) into surgery, and at the end of surgery (57.34 ± 7.67 vs. 69.33 ± 9.41 CFU/cm3) (all p < 0.05). The incidence rates of increased body temperature and leukocyte count 3 days post-surgery, and the duration of antibiotic therapy and hospital stay were significantly reduced in the experimental group compared to the control group (all p < 0.05). Furthermore, the total number of pathogens in the incision at 2 hours into surgery was also significantly lower in the experimental group than in the control group (p < 0.05). Conclusion: Stringent application of the infection control pathway is an efficacious measure for improving the air cleanliness of the neurosurgery OR, decreasing the incidence rates of postoperative complications and infection, as well as controlling pathogen transmission.

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“…Intraoperative wound protectors in abdominal surgery are employed to protect the wound edges from bacterial contamination and to minimize mechanical trauma. Several clinical trials have been performed to investigate their role in preventing SSIs with some success [132][133][134] . Plastic adhesive skin barriers used to prevent contamination are popular with some surgeons, but current data show no real impact on the rate of SSIs in general surgery [135] .…”

Section: Enhanced Recovery After Surgery Opioid Reduction Anxiety mentioning

confidence: 99%

Abdominal wall procedures: the benefits of prehabilitation

Knapp¹,

Jedrzejewski²,

Martindale³

2020

PAR

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Prehabilitation for abdominal wall procedures provides an opportunity to further modify patient risk factors for surgical complications. It includes interventions that optimize nutrition, glycemic control, functional status, and utilization of the patient's microbiome pre-, intra-, and postoperatively. Through a multidisciplinary and anticipatory approach to patients' existing co-morbidities, the physiological stress of surgery may be attenuated to ultimately minimize perioperative morbidity in the elective setting. With increasing data to support the efficacy of prehabilitation in optimizing surgical outcomes and decreasing hospital length of stay, it is incumbent on the surgeon to employ these practices in elective abdominal wall reconstruction. Further research on the effects of prehabilitation interventions will help to shape and inform protocols that may be implemented beyond abdominal wall procedures in an effort to continually improve best practices in surgical care.

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Optimum Operating Room Environment for the Prevention of Surgical Site Infections

Abstract: Systematic protocols exist for optimizing the surgical sterility of the operating room to prevent SSIs. Ongoing research efforts aim to improve the precision of peri-operative antisepsis measures and personalize these measures to tailor the patient's unique microbial environment.

Cited by 28 publications

References 32 publications

Compliance and Barriers Facing Nurses with Surgical Site Infection Prevention Guidelines

Compliance and Barriers Facing Nurses with Surgical Site Infection Prevention Guidelines

Efficacy of infection control pathway in reducing postoperative infections in patients undergoing neurosurgery

Abdominal wall procedures: the benefits of prehabilitation

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