Implementation of surgical site infection care bundle in patients undergoing gastrointestinal surgeries

IF 1.4 4区医学 Q4 IMMUNOLOGY

Indian Journal of Medical Microbiology Pub Date : 2024-07-16 DOI:10.1016/j.ijmmb.2024.100670

Sarumathi Dhandapani , Kalayarasan Raja , Ketan Priyadarshi , Apurba Sankar Sastry

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引用次数: 0

Abstract

Purpose

Surgical site infection (SSI) is one of the frequent healthcare associated infections linked with significant morbidity, prolonged hospitalization, and death. SSI can be reduced by implementation of customized care bundle components as per standard guidelines. Hence this study was undertaken with the objective to implement care bundle in patients undergoing elective gastrointestinal surgeries and assess their impact on SSI rate.

Methods

The study was an interventional study conducted in the department of surgical gastroenterology for 8 months. Sample size was calculated to be 196 and only elective surgeries are included. CDC NHSN 2023 guidelines are used for surveillance of SSI and global guidelines for prevention of SSI was used for preparation of list of pre-operative, intraoperative and post-operative care bundle components and were implemented before the start of the study.

Results

Overall SSI rate and compliance to SSI care bundle in this study are 13.8% and 28.6%, respectively. When compared with the baseline SSI rate of 19.4%, there is reduction of 28.9% in SSI rate after the implementation of care bundle. Escherichia coli (54.2%) is the most commonly isolated organism. Care bundle non-compliant surgeries are associated with 2.3 times (relative risk-2.3) increased risk of SSI. There is fluctuating trend in compliance of care bundle and SSI rates across months.

Conclusion

This study shows the importance of implementation of set of care bundle for prevention of SSI which can be customized and adapted for reducing SSI.

查看原文本刊更多论文

在接受胃肠道手术的患者中实施手术部位感染护理包。

目的：手术部位感染（SSI）是常见的医疗相关感染之一，与严重的发病率、住院时间延长和死亡有关。根据标准指南实施定制的护理包组件可减少 SSI。因此，本研究旨在对接受择期胃肠道手术的患者实施护理包，并评估其对 SSI 感染率的影响：本研究是一项介入性研究，在胃肠外科进行，为期 8 个月。样本量计算为 196 例，仅包括择期手术。疾病预防控制中心 NHSN 2023 指南用于监测 SSI，全球 SSI 预防指南用于准备术前、术中和术后护理捆绑组件清单，并在研究开始前实施：结果：本研究中的总体 SSI 感染率和 SSI 护理包依从性分别为 13.8%和 28.6%。与基线 SSI 感染率 19.4% 相比，实施护理包后 SSI 感染率降低了 28.9%。大肠埃希菌（54.2%）是最常见的分离菌。不遵守护理包的手术发生 SSI 的风险增加了 2.3 倍（相对风险-2.3）。护理包的合规性和 SSI 感染率在不同月份呈波动趋势：这项研究表明，实施一套护理包对预防 SSI 非常重要，护理包可根据具体情况进行调整，以减少 SSI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Medical Microbiology IMMUNOLOGY-

CiteScore

2.20

自引率

0.00%

发文量

154

审稿时长

73 days

期刊介绍： Manuscripts of high standard in the form of original research, multicentric studies, meta analysis, are accepted. Current reports can be submitted as brief communications. Case reports must include review of current literature, clinical details, outcome and follow up. Letters to the editor must be a comment on or pertain to a manuscript already published in the IJMM or in relation to preliminary communication of a larger study. Review articles, Special Articles or Guest Editorials are accepted on invitation.