Intraoperative technique as a factor in the prevention of surgical site infection.

Hdl Handle:
http://hdl.handle.net/10147/207151
Title:
Intraoperative technique as a factor in the prevention of surgical site infection.
Authors:
McHugh, S M; Hill, A D K; Humphreys, H
Affiliation:
Department of Surgery, Beaumont Hospital, Dublin, Ireland. seamusmchugh@rcsi.ie
Citation:
J Hosp Infect. 2011 May;78(1):1-4. Epub 2011 Mar 1.
Journal:
The Journal of hospital infection
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207151
DOI:
10.1016/j.jhin.2011.01.011
PubMed ID:
21367488
Abstract:
Approximately five percent of patients who undergo surgery develop surgical site infections (SSIs) which are associated with an extra seven days as an inpatient and with increased postoperative mortality. The competence and technique of the surgeon is considered important in preventing SSI. We have reviewed the evidence on different aspects of surgical technique and its role in preventing SSI. The most recent guidelines from the National Institute for Health and Clinical Excellence in the UK recommend avoiding diathermy for skin incision even though this reduces incision time and blood loss, both associated with lower infection rates. Studies comparing different closure techniques, i.e. continuous versus interrupted sutures, have not found a statistically significant difference in the SSI rate, but using continuous sutures is quicker. For contaminated wounds, the surgical site should be left open for four days to allow for treatment of local infection before subsequent healing by primary intention. Surgical drains should be placed through separate incisions, closed suction drains are preferable to open drains, and all drains should be removed as soon as possible. There are relatively few large studies on the impact of surgical techniques on SSI rates. Larger multicentre prospective studies are required to define what aspects of surgical technique impact on SSI, to better inform surgical practice and support education programmes for surgical trainees.
Language:
eng
MeSH:
Great Britain/epidemiology; Humans; Practice Guidelines as Topic; Prevalence; Risk Factors; Surgical Procedures, Operative/*adverse effects/*methods; Surgical Wound Infection/*epidemiology/*prevention & control
ISSN:
1532-2939 (Electronic); 0195-6701 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMcHugh, S Men_GB
dc.contributor.authorHill, A D Ken_GB
dc.contributor.authorHumphreys, Hen_GB
dc.date.accessioned2012-02-01T10:00:29Z-
dc.date.available2012-02-01T10:00:29Z-
dc.date.issued2012-02-01T10:00:29Z-
dc.identifier.citationJ Hosp Infect. 2011 May;78(1):1-4. Epub 2011 Mar 1.en_GB
dc.identifier.issn1532-2939 (Electronic)en_GB
dc.identifier.issn0195-6701 (Linking)en_GB
dc.identifier.pmid21367488en_GB
dc.identifier.doi10.1016/j.jhin.2011.01.011en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207151-
dc.description.abstractApproximately five percent of patients who undergo surgery develop surgical site infections (SSIs) which are associated with an extra seven days as an inpatient and with increased postoperative mortality. The competence and technique of the surgeon is considered important in preventing SSI. We have reviewed the evidence on different aspects of surgical technique and its role in preventing SSI. The most recent guidelines from the National Institute for Health and Clinical Excellence in the UK recommend avoiding diathermy for skin incision even though this reduces incision time and blood loss, both associated with lower infection rates. Studies comparing different closure techniques, i.e. continuous versus interrupted sutures, have not found a statistically significant difference in the SSI rate, but using continuous sutures is quicker. For contaminated wounds, the surgical site should be left open for four days to allow for treatment of local infection before subsequent healing by primary intention. Surgical drains should be placed through separate incisions, closed suction drains are preferable to open drains, and all drains should be removed as soon as possible. There are relatively few large studies on the impact of surgical techniques on SSI rates. Larger multicentre prospective studies are required to define what aspects of surgical technique impact on SSI, to better inform surgical practice and support education programmes for surgical trainees.en_GB
dc.language.isoengen_GB
dc.subject.meshGreat Britain/epidemiologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshPractice Guidelines as Topicen_GB
dc.subject.meshPrevalenceen_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshSurgical Procedures, Operative/*adverse effects/*methodsen_GB
dc.subject.meshSurgical Wound Infection/*epidemiology/*prevention & controlen_GB
dc.titleIntraoperative technique as a factor in the prevention of surgical site infection.en_GB
dc.contributor.departmentDepartment of Surgery, Beaumont Hospital, Dublin, Ireland. seamusmchugh@rcsi.ieen_GB
dc.identifier.journalThe Journal of hospital infectionen_GB
dc.description.provinceLeinster-

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