Surgeon Behavior and Knowledge on Hand Scrub and Skin Antisepsis in the Operating Room

Umit, Ugurlu M.; Mokhtare, Sina; Yildiz, Ferhat; Yasemin, Pekru; Meltem, Kuzucanli; Ozdemir, Aktan A.

doi:10.1016/j.jsurg.2013.08.003

Cited by 16 publications

(8 citation statements)

References 14 publications

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“…So as long as compliance with basic protocols is not met, introducing more extensive measures will not have any significant impact on SSI reduction . Confirming that surgeons' behaviour in the operating theatre does not necessarily correlate with their scientific knowledge , 66% of respondents in a survey amongst ACVS and ECVS surgical specialists did not follow recommendations and their own stated beliefs that hydro‐alcoholic solutions are superior for hand asepsis .…”

Section: Prevention Of Surgical Site Infectionmentioning

confidence: 99%

Surgical site infections: What do we know?

Verwilghen

2015

Equine Veterinary Journal

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Though inherently linked to the act of surgery, surgical site infection (SSI) is an adverse event that places a heavy burden on surgery. It is every surgeon's nightmare, particularly since no matter how hard we try and prevent this complication, we do not seem to be able to completely prevent SSIs. But are we really trying?Surgical site infection has long been the main cause of surgical failure, historically leading to situations where surgery was considered an intervention of last resort, and the procedure worse than the actual pathology. In the middle of the 19th century abdominal interventions in man were banned due to the unacceptable mortality associated with the high infection rate [1]. Historically, infectious complications like erysipelas, tetanus, pyaemia, septicaemia and gangrene caused mean mortality rates of 60% subsequent to the most commonly performed surgical procedure of amputation [2]. Suppuration was considered normal, even a necessary and unavoidable step in the wound healing process. It is only with the pioneering work of Semmelweis, who published his book on the aetiology and prophylaxis of puerperal fever in 1861, that the scientific and medical world understood that human lives were not a necessary toll to be paid through what is now recognised as nosocomial infections. The simultaneous discovery of the germ theory led to the establishment of methods to combat sepsis, leading to the antisepsis era mainly promoted by Lister and his use of carbolic acid bandages. Soon after, pushed by Pasteur's saying, Instead of fighting bacteria in wounds, would it not just be better not to introduce them, surgeons like Koch and Halsted developed the methods to avoid the development of sepsis: the founding principles of asepsis and aseptic technique. Nowadays, these discoveries are considered to have had the greatest impact ever on patient survival with regard to infectious diseases or probably any other medical advancement. Yet, at the time, their peers sneered at those that we now consider 'godfathers of surgery'. Despite the dramatic drops in mortality, the establishment of clean aseptic surgery was delayed by ignorance and disbelief of evidence together with the belief that personal experience was more essential than aseptic technique. For instance the filthier the jacket the greater the prestige, as surgeons accumulated blood stains from previous operations as a sign of experience.Even today, with the accumulation, understanding and apparent acceptance of all this knowledge, surgical site infection remains the most common cause of infection in surgical patients [3], both human and veterinary.In equine surgery, depending on procedure and wound classification, surgical site infection rates of 0% to more than 50% have been reported [4]. Hampered by the lack of appropriate SSI definitions, absence of proper prospective surveillance programmes and small sample size, these reports probably provide a false insight into the SSI problem in equine surgery. The European CDC report on human SSI shows that up to 7...

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Section: Prevention Of Surgical Site Infectionmentioning

confidence: 99%

Surgical site infections: What do we know?

Verwilghen

2015

Equine Veterinary Journal

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“…E pode estar associada ao comportamento de alguns membros da equipe cirúrgica, por acreditar que aspectos relacionados ao material são de responsabilidade apenas da equipe de enfermagem, considerando a falta de tempo de muitos cirurgiões, agenda sobrecarregada e a falsa crença de que tal evento não ocorrerá entre seus pacientes (23)(24) .…”

Section: Discussionunclassified

Índice Autorreferido Pela Equipe De Cirurgia Ortopédica Sobre O Protocolo E Checklist De Cirurgia Segura

Garcia¹,

Oliveira

2018

Cogitare Enferm.

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RESUMO: Objetivo: este estudo avaliou o índice autorreferido pela equipe de cirurgia ortopédica quanto ao protocolo de cirurgia segura e aplicação do checklist. Método: estudo descritivo em dois hospitais de Belo Horizonte -Minas Gerais, realizado entre junho e outubro de 2016 com 133 profissionais, médicos (preceptores/ residentes), enfermeiros e técnicos de enfermagem. Não foram incluídos profissionais sob licença médica, férias/ folga durante a pesquisa. Os dados foram analisados descritivamente, por medidas de tendência central e dispersão. Resultados: 83,3% (25)

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“…Seventy percent of them said in interview that use of brush is needed for hand disinfection but 73% did not use brushes in practice. 22 It seems that mandatory formal educational courses do not help and the staff, especially the surgeons, do not attend the courses even when mandatory. 21 Continuous regular education, providing feedback, and participation of the surgeons in developing the hospital policy may result in elevated compliance to the standards.…”

Section: Discussionmentioning

confidence: 99%

“… 29 Previous studies also recommended observation of surgical scrub behaviors and regular audit and feedback to the surgeons and other surgical team members. 22 , 23 …”

Section: Discussionmentioning

confidence: 99%

Quality of surgical scrub in a heart hospital: Do not take it for granted

Abdollahi¹,

Tabrizi²,

Jodati³

et al. 2017

J Cardiovasc Thorac Res

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Introduction: The role of scrub in the prevention of post-surgery infections is well-known. This study aimed to investigate the inputs and process of surgical scrub in operating rooms of the largest heart hospital of northwest Iran. Methods: This study took place with a before-after design as a clinical audit in 2014. A check list developed based on national and international standards of surgical hand scrub was used as the study instrument. Checklists were completed by observation of surgical team scrubbing in real situation. Descriptive statistics and graphs were used to describe the results. Results: A compliance degree with the standards for prerequisites, equipment, general items, process and time of scrub was observed as 58%, 55%, 33%, 68% and 22%, respectively. The compliance degree after the intervention was 72%, 66%, 66%, 85% and 61%, respectively. Improvement was observed in all studied aspects of scrub. The total score of compliance with the standards changed from 47% to 70%. The main issues were incorrect order of scrubbing the areas of the hands, incorrect way of scrubbing the arms, insufficient scrubbing the arms (not above elbow), and lack of awareness about hospital’s policy on scrub time. Conclusion: The results showed defects in the surgical scrub of the studied hospital and that the compliance with the standards can be improved by simple interventions. Periodical audit and observation of the scrub and then feedback is recommended.

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Surgeon Behavior and Knowledge on Hand Scrub and Skin Antisepsis in the Operating Room

Cited by 16 publications

References 14 publications

Surgical site infections: What do we know?

Surgical site infections: What do we know?

Índice Autorreferido Pela Equipe De Cirurgia Ortopédica Sobre O Protocolo E Checklist De Cirurgia Segura

Quality of surgical scrub in a heart hospital: Do not take it for granted

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