Ana Sayfa| Indekslenen Dergiler

A Study of Methods Used to Reduce Surgical Site Infections
Dergi: Archives of Clinical and Experimental Surgery (ACES)
Yıl: 2012     Cilt: 1     Sayı: 1     Sayfa: 27-33
Yazar(lar): Stuart R. Walker, Tara Anderson
Kurum: Royal Hobart Hospital
Royal Hobart Hospital


A Study of Methods Used to Reduce Surgical Site Infections

Summary: Objective: Surgical site infections (SSI) remain a cause for concern. The aim of this audit was to assess current practise in an Australian Teaching Hospital when compared to guidelines issued by NICE (UK).
Methods: A prospective audit of cases passing through the operating theater complex of a teaching hospital over four weeks. Practise was assessed against criteria designed to reduce the incidence of SSI.
Results: 570 surgical cases were analyzed. In 126 cases (22%), hair was removed pre-operatively, 84% via clippers and 15% via razor. There was a large variation in the type of skin preparation used, with aqueous betadine/iodine being the most common (377 cases). In 340 cases (61%), the skin preparation was allowed to dry prior to skin incision. In 161 cases, an occlusive drape was used (28%). 339 patients (59%) received prophylactic antibiotics. The appropriateness of antibiotic prophylaxis was reviewed in relation to local guidelines. In the 238 cases where the timing of the antibiotics was recorded, the mean time prior to incision was 18 mins (the range was 180 minutes to 15 minutes after the incision). 248 patients had no active warming in theater. Their mean temperature on arrival in recovery was 36.6°C. 292 patients had active warming. Their mean body temperature on arrival in recovery was 36.7°C (Student T test p = 0.222, 95% confidence interval -0.137 to 0.032).
Conclusion: In this hospital there was poor compliance when measured against the NICE recommendations.

Türü: Original Research

ISSN Print: 2146-8133

Tam Metin
Tam Metin

DOI: 10.5455/aces.20120213053645

Bilgi Merkezi
Yeni Dergi Önerisi
Dergi Yönetici Girişi

English in Use

Do not get lost, learn what you need

Popüler Makaleler (Bu Dergide)
Role of Probiotics in Dental Caries and Periodontal Disease
Myocardial Protection in Minimally Invasive Mitral Valve Surgery: Comparison of the Cold-Blood Cardioplegia of the Bretschneider Solution and the Warm-Blood Cardioplegia of the Calafiore Protocol
A Study of Methods Used to Reduce Surgical Site Infections
Efficacy and Safety of Trans-Arterial Splenic Embolization
Slow-Release Drug Deliver System with Polylactic Acid Hydrogels in Prevention of Tracheal Wall Fibroplasia

Akademik Dizin
eJPort Journal Hosting
Article Tools
Copyright © 2012-2017 All rights reserved. Powered by eJManager