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Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines.
De Simone, Belinda Sartelli, Massimo Coccolini, Federico Ball, Chad G Brambillasca, Pietro Chiarugi, Massimo Campanile, Fabio Cesare Nita, Gabriela Corbella, Davide Leppaniemi, Ari
De Simone, Belinda
Sartelli, Massimo
Coccolini, Federico
Ball, Chad G
Brambillasca, Pietro
Chiarugi, Massimo
Campanile, Fabio Cesare
Nita, Gabriela
Corbella, Davide
Leppaniemi, Ari
Author
De Simone, Belinda
Sartelli, Massimo
Coccolini, Federico
Ball, Chad G
Brambillasca, Pietro
Chiarugi, Massimo
Campanile, Fabio Cesare
Nita, Gabriela
Corbella, Davide
Leppaniemi, Ari
Boschini, Elena
Moore, Ernest E
Biffl, Walter
Peitzmann, Andrew
Kluger, Yoram
Sugrue, Michael
Fraga, Gustavo
Di Saverio, Salomone
Weber, Dieter
Sakakushev, Boris
Chiara, Osvaldo
Abu-Zidan, Fikri M
Ten Broek, Richard
Kirkpatrick, Andrew W
Wani, Imtiaz
Coimbra, Raul
Baiocchi, Gian Luca
Kelly, Micheal D
Ansaloni, Luca
Catena, Fausto
Sartelli, Massimo
Coccolini, Federico
Ball, Chad G
Brambillasca, Pietro
Chiarugi, Massimo
Campanile, Fabio Cesare
Nita, Gabriela
Corbella, Davide
Leppaniemi, Ari
Boschini, Elena
Moore, Ernest E
Biffl, Walter
Peitzmann, Andrew
Kluger, Yoram
Sugrue, Michael
Fraga, Gustavo
Di Saverio, Salomone
Weber, Dieter
Sakakushev, Boris
Chiara, Osvaldo
Abu-Zidan, Fikri M
Ten Broek, Richard
Kirkpatrick, Andrew W
Wani, Imtiaz
Coimbra, Raul
Baiocchi, Gian Luca
Kelly, Micheal D
Ansaloni, Luca
Catena, Fausto
Advisors
Editors
Other Contributors
Departments
Date
2020-02-10
Date Submitted
Keywords
EMERGENCY
Intra-abdominal infection
Operating room
prevention
Surgical site infection
Intra-abdominal infection
Operating room
prevention
Surgical site infection
Other Subjects
Subject Mesh
Planned Date
Start Date
Collaborators
Principal Investigators
Files
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s13017-020-0288-4.pdf
Adobe PDF, 762.15 KB
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Abstract
Background: Surgical site infections (SSI) represent a considerable burden for healthcare systems. They are largely preventable and multiple interventions have been proposed over past years in an attempt to prevent SSI. We aim to provide a position paper on Operative Room (OR) prevention of SSI in patients presenting with intra-abdominal infection to be considered a future addendum to the well-known World Society of Emergency Surgery (WSES) Guidelines on the management of intra-abdominal infections.
Methods: The literature was searched for focused publications on SSI until March 2019. Critical analysis and grading of the literature has been performed by a working group of experts; the literature review and the statements were evaluated by a Steering Committee of the WSES.
Results: Wound protectors and antibacterial sutures seem to have effective roles to prevent SSI in intra-abdominal infections. The application of negative-pressure wound therapy in preventing SSI can be useful in reducing postoperative wound complications. It is important to pursue normothermia with the available resources in the intraoperative period to decrease SSI rate. The optimal knowledge of the pharmacokinetic/pharmacodynamic characteristics of antibiotics helps to decide when additional intraoperative antibiotic doses should be administered in patients with intra-abdominal infections undergoing emergency surgery to prevent SSI.
Conclusions: The current position paper offers an extensive overview of the available evidence regarding surgical site infection control and prevention in patients having intra-abdominal infections.
Language
en
Citation
ISSN
eISSN
1749-7922
ISBN
DOI
10.1186/s13017-020-0288-4
PMID
32041636