The persistent breach between evidence and practice in the prevention of surgical site infection. Qualitative study

Badia, Josep M.; Rubio-Pérez, Inés; López-Menéndez, José; Díez, Cecilia; Bolaños, Bader Al-Raies; Ocaña-Guaita, Julia; Sánchez, Xosé Manuel Meijome; Chamorro-Pons, Manuel; Calderón-Nájera, Ramón; Ortega-Pérez, Gloria; Paredes-Esteban, Rosa; Sánchez-Viguera, Cristina; Vilallonga, Ramón; Picardo, Antonio L.; Bravo-Brañas, Elena; Espín, Eloy

doi:10.1016/j.ijsu.2020.08.027

Cited by 14 publications

(10 citation statements)

References 22 publications

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“…Otherwise, we focused our analysis on patients who did not develop SARS-Cov-2 infection in the perioperative period and up to 30-day after surgery. Interestingly, we identified that, as well as the intraoperative period [24] , [25] , [26] , also the postoperative course should be implemented with some interventions in order to reduce postoperative morbidity. We specifically identified that isolation, hospitalization in a single room and visits prohibited (or limited), led to a control of postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 free pathways decrease postoperative complications in patients undergoing elective colorectal surgery

Deidda¹,

Bao²,

Capelli³

et al. 2022

Surgery in Practice and Science

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Section: Discussionmentioning

confidence: 99%

COVID-19 free pathways decrease postoperative complications in patients undergoing elective colorectal surgery

Deidda¹,

Bao²,

Capelli³

et al. 2022

Surgery in Practice and Science

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“…They reported a significant reduction in SSI from 20% to 10% (p ≤ 0.0001) [35]. In a recent web-based survey of 1105 Spanish surgeons and nurses, 57.2% reported the use of alcoholic CHG, and antimicrobial sutures were sometimes used by 20.2% [36]. In our study, more surgeons reported the use of these interventions, which may reflect selection bias.…”

Section: Wound Washoutmentioning

confidence: 43%

An international assessment of surgeon practices in abdominal wound closure and surgical site infection prevention by the European Society for Coloproctology

et al. 2023

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Aim:The burden of abdominal wound failure can be profound. Recent clinical guidelines have highlighted the heterogeneity of laparotomy closure techniques. The aim of this study was to investigate current midline closure techniques and practices for prevention of surgical site infection (SSI).Method: An online survey was distributed in 2021 among the membership of the European Society of Coloproctology and its partner societies. Surgeons were asked to provide information on how they would close the abdominal wall in three specific clinical scenarios and on SSI prevention practices.Results: A total of 561 consultants and trainee surgeons participated in the survey, mainly from Europe (n = 375, 66.8%). Of these, 60.6% identified themselves as colorectal surgeons and 39.4% as general surgeons. The majority used polydioxanone for fascial closure, with small bite techniques predominating in clean-contaminated cases (74.5%, n = 418). No significant differences were found between consultants and trainee surgeons. For SSI prevention, more surgeons preferred the use of mechanical bowel preparation (MBP) alone over MBP and oral antibiotics combined. Most surgeons preferred 2% alcoholic chlorhexidine (68.4%) or aqueous povidone-iodine (61.1%) for skin preparation.The majority did not use triclosan-coated sutures (73.3%) or preoperative warming of the wound site (78.5%), irrespective of level of training or European/non-European practice. Conclusion:Abdominal wound closure technique and SSI prevention strategies vary widely between surgeons. There is little evidence of a risk-stratified approach to wound | 1015

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“…Despite these huge amounts of several different studies, many centers seemed to stay conservative and conformist, which may be failed to enhance the optimal level of skin preparation [9][10][11]. Our study demonstrated not only the different techniques of skin antisepsis but also a very significant attempt to digress the comfort zone of conventional disinfection techniques.…”

Section: Discussionmentioning

confidence: 77%

Preoperatif cilt antisepsisi için 2 farklı rejimin cerrahi alan enfeksiyon sonuçları: povidon-iyot ile tek katmana karşı povidon-iyot / oktenidin dihidroklorür ile çift katman

Turhan

TOPÇU

Yıldız

2022

Turkish Journal of Clinics and Laboratory

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The persistent breach between evidence and practice in the prevention of surgical site infection. Qualitative study

Cited by 14 publications

References 22 publications

COVID-19 free pathways decrease postoperative complications in patients undergoing elective colorectal surgery

COVID-19 free pathways decrease postoperative complications in patients undergoing elective colorectal surgery

An international assessment of surgeon practices in abdominal wound closure and surgical site infection prevention by the European Society for Coloproctology

Preoperatif cilt antisepsisi için 2 farklı rejimin cerrahi alan enfeksiyon sonuçları: povidon-iyot ile tek katmana karşı povidon-iyot / oktenidin dihidroklorür ile çift katman

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