Chiara Paganetti, Ulrike Subotic, Carlos Sanchez, Csongor Deak, Rachel Kusche, Giuseppe Autorino, Mario Mendozy-Sagaon, Viktoria Amanda Pfeifle, Renato Gualtieri, Klara Posfay-Barbe, Rebecca Oppenheim, Nicolas Jauquier, Markus Lehner, Michael Buettcher, Jasmin Männer, Angela Beccarelli, Kathrin Meier, Julia A Bielicki, Isabella N Bielicki
{"title":"Implementation of surgical site infection prophylaxis in children - a cross sectional prospective study.","authors":"Chiara Paganetti, Ulrike Subotic, Carlos Sanchez, Csongor Deak, Rachel Kusche, Giuseppe Autorino, Mario Mendozy-Sagaon, Viktoria Amanda Pfeifle, Renato Gualtieri, Klara Posfay-Barbe, Rebecca Oppenheim, Nicolas Jauquier, Markus Lehner, Michael Buettcher, Jasmin Männer, Angela Beccarelli, Kathrin Meier, Julia A Bielicki, Isabella N Bielicki","doi":"10.1016/j.jhin.2025.03.018","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Surgical Site Infections (SSI) are a common cause for morbidity and mortality in both adults and children. In paediatric surgery, evidence on specific prevention measures is lacking and practice mainly depends on local guidelines and treating team's preferences. Aim We aimed to investigate current practice for children undergoing surgery with respect to SSI prevention using a standardized surveillance tool.</p><p><strong>Methods: </strong>Nine Swiss paediatric surgery centres participated in a standard period prevalence study. SSI prevention measures were recorded in these hospitals during seven consecutive days in October 2022 for any paediatric surgical procedure resulting in a surgical wound. The SSI prevention measures of interest were drawn from the most recent WHO guidelines. Findings 351 procedures were included. All Swiss language regions were represented. Traumatologic/orthopaedic surgeries were most common. Surgical antibiotic prophylaxis was administered in 161/351 (46%) of all cases, though in 33/161 (21%) of cases, there was no indication for the administration of antibiotics. Alcohol-based or iodine-based solutions were most often used for surgical skin preparation. Antimicrobial-coated sutures were only used in 84/351 (24%) of cases. Regional differences in prevention measures were noted between participating centres for skin preparation solution, suture material, wound dressing, and implementation of warming devices.</p><p><strong>Conclusion: </strong>This study provides an overview of current SSI prevention practices in Swiss paediatric surgery centers, identifies targets for improvement, and highlights areas of clinical uncertainty requiring further investigation. The findings underscore the need for standardized guidelines to ensure consistent and evidence-based SSI prevention strategies in paediatric surgery.</p>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":" ","pages":""},"PeriodicalIF":3.9000,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jhin.2025.03.018","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Surgical Site Infections (SSI) are a common cause for morbidity and mortality in both adults and children. In paediatric surgery, evidence on specific prevention measures is lacking and practice mainly depends on local guidelines and treating team's preferences. Aim We aimed to investigate current practice for children undergoing surgery with respect to SSI prevention using a standardized surveillance tool.
Methods: Nine Swiss paediatric surgery centres participated in a standard period prevalence study. SSI prevention measures were recorded in these hospitals during seven consecutive days in October 2022 for any paediatric surgical procedure resulting in a surgical wound. The SSI prevention measures of interest were drawn from the most recent WHO guidelines. Findings 351 procedures were included. All Swiss language regions were represented. Traumatologic/orthopaedic surgeries were most common. Surgical antibiotic prophylaxis was administered in 161/351 (46%) of all cases, though in 33/161 (21%) of cases, there was no indication for the administration of antibiotics. Alcohol-based or iodine-based solutions were most often used for surgical skin preparation. Antimicrobial-coated sutures were only used in 84/351 (24%) of cases. Regional differences in prevention measures were noted between participating centres for skin preparation solution, suture material, wound dressing, and implementation of warming devices.
Conclusion: This study provides an overview of current SSI prevention practices in Swiss paediatric surgery centers, identifies targets for improvement, and highlights areas of clinical uncertainty requiring further investigation. The findings underscore the need for standardized guidelines to ensure consistent and evidence-based SSI prevention strategies in paediatric surgery.
期刊介绍：
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.
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