Preventing infection in general surgery: improvements through education of surgeons by surgeons.

Hdl Handle:
http://hdl.handle.net/10147/230591
Title:
Preventing infection in general surgery: improvements through education of surgeons by surgeons.
Authors:
McHugh, S M; Corrigan, M A; Dimitrov, B D; Cowman, S; Tierney, S; Hill, A D K; Humphreys, H
Affiliation:
Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland. seamusmchugh@rcsi.ie
Citation:
Preventing infection in general surgery: improvements through education of surgeons by surgeons. 2011, 78 (4):312-6 J. Hosp. Infect.
Journal:
The Journal of hospital infection
Issue Date:
Aug-2011
URI:
http://hdl.handle.net/10147/230591
DOI:
10.1016/j.jhin.2011.03.023
PubMed ID:
21640433
Additional Links:
http://epubs.rcsi.ie/gpart/27/
Abstract:
Surgical patients are at particular risk of healthcare-associated infection (HCAI) due to the presence of a surgical site leading to surgical site infection (SSI), and because of the need for intravascular access resulting in catheter-related bloodstream infection (CRBSI). A two-year initiative commenced with an initial audit of surgical practice; this was used to inform the development of a targeted educational initiative by surgeons specifically for surgical trainees. Parameters assessed during the initial audit and a further audit after the educational initiative were related to intra- and postoperative aspects of the prevention of SSIs, as well as care of peripheral venous catheters (PVCs) in surgical patients. The proportion of prophylactic antibiotics administered prior to incision across 360 operations increased from 30.0% to 59.1% (P<0.001). Surgical site dressings were observed in 234 patients, and a significant decrease was found in the percentage of dressings that were tampered with during the initial 48h after surgery (16.5% vs 6.2%, P=0.030). In total, 574 PVCs were assessed over the two-year period. Improvements were found in the proportion of unnecessary PVCs in situ (37.9% vs 24.4%, P<0.001), PVCs in situ for >72h (10.6% vs 3.1%, P<0.001) and PVCs covered with clean and intact dressings (87.3% vs 97.6%, P<0.001). Significant improvements in surgical practice were established for the prevention of SSI and CRBSI through a focused educational programme developed by and for surgeons. Potentially, other specific measures may also be warranted to achieve further improvements in infection prevention in surgical practice.
Item Type:
Article
Language:
en
MeSH:
Antibiotic Prophylaxis; Bandages; Catheterization; Education, Medical, Continuing; General Surgery; Health Services Research; Humans; Intervention Studies; Surgical Wound Infection
ISSN:
1532-2939

Full metadata record

DC FieldValue Language
dc.contributor.authorMcHugh, S Men_GB
dc.contributor.authorCorrigan, M Aen_GB
dc.contributor.authorDimitrov, B Den_GB
dc.contributor.authorCowman, Sen_GB
dc.contributor.authorTierney, Sen_GB
dc.contributor.authorHill, A D Ken_GB
dc.contributor.authorHumphreys, Hen_GB
dc.date.accessioned2012-06-25T14:05:58Z-
dc.date.available2012-06-25T14:05:58Z-
dc.date.issued2011-08-
dc.identifier.citationPreventing infection in general surgery: improvements through education of surgeons by surgeons. 2011, 78 (4):312-6 J. Hosp. Infect.en_GB
dc.identifier.issn1532-2939-
dc.identifier.pmid21640433-
dc.identifier.doi10.1016/j.jhin.2011.03.023-
dc.identifier.urihttp://hdl.handle.net/10147/230591-
dc.description.abstractSurgical patients are at particular risk of healthcare-associated infection (HCAI) due to the presence of a surgical site leading to surgical site infection (SSI), and because of the need for intravascular access resulting in catheter-related bloodstream infection (CRBSI). A two-year initiative commenced with an initial audit of surgical practice; this was used to inform the development of a targeted educational initiative by surgeons specifically for surgical trainees. Parameters assessed during the initial audit and a further audit after the educational initiative were related to intra- and postoperative aspects of the prevention of SSIs, as well as care of peripheral venous catheters (PVCs) in surgical patients. The proportion of prophylactic antibiotics administered prior to incision across 360 operations increased from 30.0% to 59.1% (P<0.001). Surgical site dressings were observed in 234 patients, and a significant decrease was found in the percentage of dressings that were tampered with during the initial 48h after surgery (16.5% vs 6.2%, P=0.030). In total, 574 PVCs were assessed over the two-year period. Improvements were found in the proportion of unnecessary PVCs in situ (37.9% vs 24.4%, P<0.001), PVCs in situ for >72h (10.6% vs 3.1%, P<0.001) and PVCs covered with clean and intact dressings (87.3% vs 97.6%, P<0.001). Significant improvements in surgical practice were established for the prevention of SSI and CRBSI through a focused educational programme developed by and for surgeons. Potentially, other specific measures may also be warranted to achieve further improvements in infection prevention in surgical practice.en_GB
dc.language.isoenen
dc.relation.urlhttp://epubs.rcsi.ie/gpart/27/en_GB
dc.rightsArchived with thanks to The Journal of hospital infectionen_GB
dc.subject.meshAntibiotic Prophylaxis-
dc.subject.meshBandages-
dc.subject.meshCatheterization-
dc.subject.meshEducation, Medical, Continuing-
dc.subject.meshGeneral Surgery-
dc.subject.meshHealth Services Research-
dc.subject.meshHumans-
dc.subject.meshIntervention Studies-
dc.subject.meshSurgical Wound Infection-
dc.titlePreventing infection in general surgery: improvements through education of surgeons by surgeons.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland. seamusmchugh@rcsi.ieen_GB
dc.identifier.journalThe Journal of hospital infectionen_GB
dc.description.provinceLeinsteren

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