Empowering patients through a perioperative prevention bundle to reduce surgical site infections in colorectal surgery.

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-04-03 DOI:10.1016/j.ajic.2025.03.151

Vladimir Nikolic, Ljiljana Markovic-Denic, Stefan Kmezic, Aleksandar Radovanovic, Djordje Nektarijevic, Jelena Djokic-Kovac, Djordje Knezevic, Andrija Antic

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引用次数: 0

Abstract

Background: Surgical site infections (SSIs) are a significant complication in colorectal surgery, with rates ranging from 5.4% to 30%. This study aimed to evaluate the impact of a perioperative prevention bundle on SSI incidence in colorectal surgery.

Methods: A prospective cohort study with a before-after analysis was conducted from April 2022 to April 2023. The intervention included patient education, preoperative and postoperative chlorhexidine bathing, and mandatory glove change before fascial closure.

Results: The implementation of the perioperative prevention bundle resulted in a significant reduction in the overall SSI rate, from 18.5% to 3.8% (p = 0.016). Superficial SSIs were decreased from 11.1% to 0% (p = 0.012) while reductions in deep and organ-space SSIs were not statistically significant. Additionally, rehospitalization rates within 30 days dropped from 14.0% to 2.0% (p = 0.029). The intervention achieved full compliance among patients and staff.

Discussion: The individualized approach likely contributed to high compliance, potentially enabling patients to take a more active role in their care. Further research is needed to address the challenges associated with deep and organ-space infections.

Conclusions: The implementation of a perioperative prevention bundle, emphasizing patient education and engagement, effectively reduced the incidence of SSIs and rehospitalization rates following colorectal surgery.

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背景：手术部位感染（SSI）是结直肠手术中的一种重要并发症，发生率从 5.4% 到 30% 不等。本研究旨在评估围手术期预防包对结直肠手术 SSI 发生率的影响：方法：2022 年 4 月至 2023 年 4 月进行了一项前瞻性队列研究，并进行了前后分析。干预措施包括患者教育、术前和术后洗必泰沐浴以及筋膜闭合前强制更换手套：结果：实施围手术期预防包后，总体 SSI 感染率显著下降，从 18.5% 降至 3.8%（p = 0.016）。浅层 SSI 从 11.1% 降至 0%（p = 0.012），而深层和脏器间隙 SSI 的减少无统计学意义。此外，30 天内再次住院率从 14.0% 降至 2.0%（p = 0.029）。患者和医护人员都完全遵守了干预措施：讨论：个性化方法可能有助于提高依从性，使患者在护理中发挥更积极的作用。结论：围手术期预防措施的实施有助于提高患者的依从性：实施围手术期预防捆绑计划，强调患者教育和参与，有效降低了结直肠手术后 SSI 的发生率和再住院率。

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)