Spine surgical site infection outcome with preoperative application of a presaturated 10% povidone-iodine nasal decolonization product in a 32-bed surgical hospital

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-01-01 DOI:10.1016/j.ajic.2024.09.016

Patti S. Grant RN, BSN, MS, CIC, FAPIC , Caitlin Crews-Stowe PhD, MPH, CPH, CPHQ, VA-VC, CIC

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引用次数: 0

Abstract

Background

To pursue an irreducible minimum overall surgical site infection (SSI) rate, a 32-bed surgical hospital employed an outside consultant and performed sterile processing and surgery internal audits: No obvious improvements were identified. A 10-year review determined that 70% of SSI’s were spine procedure patients. After a nasal decolonization product literature review, an intervention was implemented. The purpose of this study was to assess if the intervention impacted spine SSI rates.

Methods

A 36-month implementation science study was conducted. The 18-month intervention was the immediate preoperative application of a manufactured presaturated 10% povidone-iodine nasal decolonization product in spine surgery patients, with monthly product application documentation surveillance feedback to the preoperative staff. Chi-square test was used to determine the difference in types of spine SSI surgery rates pre and post intervention.

Results

Overall spine SSI decreased 35.7% (P = .04) with a 58.7% reduction in superficial incisional SSI (P = .02). The 16.1% decline in deep incisional SSI was not significant (P = .29).

Conclusions

Within this hospital, conducting 7,576 surgical spine procedures over 36 months, with the immediate preoperative application of a presaturated 10% povidone-iodine nasal decolonization product, the only intervention in SSI prevention protocol, produced a statistically significant decrease in spine patient SSI rate percent.

查看原文本刊更多论文

在一家拥有 32 张病床的外科医院，术前使用 10%聚维酮碘鼻腔去菌产品对脊柱手术部位感染的疗效。

背景：一家拥有 32 张床位的外科医院为了追求不可复制的最低手术部位感染率（SSI），聘请了一名外部顾问，并进行了无菌处理和手术内部审核：结果没有发现明显的改进。一项为期十年的审查结果显示，70% 的 SSI 患者都是脊柱手术患者。在对鼻腔去菌产品进行文献回顾后，医院实施了一项干预措施。本研究的目的是评估该干预措施是否对脊柱 SSI 感染率产生影响：方法：进行了为期 36 个月的实施科学研究。为期 18 个月的干预措施是在脊柱手术患者术前立即使用 10%聚维酮碘鼻腔消毒产品，并每月向术前工作人员提供产品使用记录和监督反馈。采用卡方检验确定干预前后脊柱 SSI 手术类型的差异：结果：脊柱SSI总体下降了35.7%（P=0.04），浅切口SSI下降了58.7%（P=0.02）。深部切口 SSI 下降 16.1%，但下降幅度不大（P=0.29）：该医院在36个月内进行了7576例脊柱外科手术，术前立即使用10%的聚维酮碘鼻腔去菌产品（SSI预防方案中唯一的干预措施），脊柱患者的SSI率在统计学上显著下降。

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

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)