Reduction of surgical site infections in low transverse cesarean section at a university hospital

Riley, May Mei-Sheng; Suda, Deborah; Tabsh, Khalil; Flood, Annemarie; Pegues, David A.

doi:10.1016/j.ajic.2011.12.011

Cited by 24 publications

(19 citation statements)

References 15 publications

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“…The literature stresses that, although evidence-based interventions can reduce the number of SSIs and improve patient outcomes, implementation of these practices nationally occurs less frequently than is desirable. 10,148,203,208-210 …”

Section: Section 6 : Examples Of Implementations Trategiesmentioning

confidence: 99%

Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update

Anderson

Podgorny

Berríos-Torres

et al. 2014

Infect. Control Hosp. Epidemiol.

824

447

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PURPOSE Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their surgical site infection (SSI) prevention efforts. This document updates “Strategies to Prevent Surgical Site Infections in Acute Care Hospitals,”1 published in 2008. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.2

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Section: Section 6 : Examples Of Implementations Trategiesmentioning

confidence: 99%

Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update

Anderson

Podgorny

Berríos-Torres

et al. 2014

Infect. Control Hosp. Epidemiol.

824

447

View full text Add to dashboard Cite

show abstract

“…Finally, a recent study from Los Angeles reported that the SSI rate decreased from a high of 10.84% to 2.29% after application of a bundle of interventions. 4 The investigators used a multidisciplinary approach to reduce the SSI rate by identifying critical control points and analyzing hazards by directly observing CS procedures, developing an action plan, ensuring compliance with SSI prevention guidelines, and improving skin antisepsis. Similar to our study, that study was observational with a 30-day follow-up, and the investigators introduced ChloraPrep for skin antisepsis.…”

Section: Surgical Care Bundlesmentioning

confidence: 99%

“…These preventive steps include ensuring appropriate selection and timing of prophylactic antibiotics, avoiding razor shaving, and optimizing preoperative skin hygiene and surgical skin preparation. [4][5][6][7][8][9] Conflicting evidence exists regarding the ideal skin closure material and methodology after surgery, with variations among surgeons according to experience and patients' clinical presentation at surgery. 2 In the present study, we conducted a baseline survey of SSI after CS in a tertiary maternity unit to identify the SSI rate, then assessed the subsequent change in SSI rate after implementation of a 3-intervention bundle.…”

mentioning

confidence: 98%

Surgical site infection after cesarean section: Implementing 3 changes to improve the quality of patient care

Corcoran

Jackson

Coulter-Smith

et al. 2013

American Journal of Infection Control

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“…Riley et al demonstrated a significant decline in surgical site infections (SSI) rates by 63.5% after implementing various evidence-based infection control interventions aimed at risk reduction [12]. Although the total infection rate after CD is low, certain populations of patients appear to be at significantly higher risk of postpartum infectious complications.…”

Section: Introductionmentioning

confidence: 99%

“…Increasing data support that multidisciplinary initiatives involving various preoperative, perioperative and postoperative measures can lead to reductions in surgical site infection and other infections that occur in the postoperative period [11][12][13]. Riley et al demonstrated a significant decline in surgical site infections (SSI) rates by 63.5% after implementing various evidence-based infection control interventions aimed at risk reduction [12].…”

Section: Introductionmentioning

confidence: 99%

A model to predict risk of postpartum infection after Caesarean delivery*

Moulton

Jelovsek

Lachiewicz

et al. 2017

The Journal of Maternal-Fetal & Neonatal Medicine

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Purpose: The purpose of this study is to build and validate a statistical model to predict infection after caesarean delivery (CD). Methods: Patient and surgical variables within 30 d of CD were collected on 2419 women. Postpartum infection included surgical site infection, urinary tract infection, endomyometritis and pneumonia. The data were split into model development and internal validation (1 January-31 August; N ¼ 1641) and temporal validation subsets (1 September-31 December; N ¼ 778). Logistic regression models were fit to the data with concordance index and calibration curves used to assess accuracy. Internal validation was performed with bootstrapping correcting for bias. Results: Postoperative infection occurred in 8% (95% CI 7.3-9.9), with 5% meeting CDC criteria for surgical site infections (SSI) (95% CI 4.1-5.8). Eight variables were predictive for infection: increasing BMI, higher number of prior Caesarean deliveries, emergent Caesarean delivery, Caesarean for failure to progress, skin closure using stainless steel staples, chorioamnionitis, maternal asthma and lower gestational age. The model discriminated between women with and without infection on internal validation (concordance index ¼ 0.71 95% CI 0.67-0.76) and temporal validation (concordance index ¼ 0.70, 95% CI 0.62, 0.78). Conclusions: Our model accurately predicts risk of infection after CD. Identification of patients at risk for postoperative infection allows for individualized patient care and counseling.ARTICLE HISTORY

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Reduction of surgical site infections in low transverse cesarean section at a university hospital

Cited by 24 publications

References 15 publications

Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update

Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update

Surgical site infection after cesarean section: Implementing 3 changes to improve the quality of patient care

A model to predict risk of postpartum infection after Caesarean delivery*

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