Infection prevention plan to decrease surgical site infections in bariatric surgery patients

2021 ◽  
Author(s):  
Bradley S. Kushner ◽  
Dawn Freeman ◽  
Ashley Waldrop ◽  
Jayme Sparkman ◽  
Francesca Dimou ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Infection Prevention ◽  
Surgical Site Infections ◽  
Prevention Plan

The impact of a multimodel approach to designing a new orthopedic department

2020 ◽  
pp. 1-6
Author(s):  
Elad Keren ◽  
Abraham Borer ◽  
Lior Nesher ◽  
Tali Shafat ◽  
Rivka Yosipovich ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Antibiotic Stewardship ◽  
Infection Prevention ◽  
Tertiary Care ◽  
Surgical Site Infections ◽  
Antibiotic Use ◽  
Prevention Measures ◽  
Orthopedic Department ◽  
Before And After ◽  
The Impact

Abstract Objective: To determine whether a multifaceted approach effectively influenced antibiotic use in an orthopedics department. Design: Retrospective cohort study comparing the readmission rate and antibiotic use before and after an intervention. Setting: A 1,000-bed, tertiary-care, university hospital. Patients: Adult patients admitted to the orthopedics department between January 2015 and December 2018. Methods: During the preintervention period (2015–2016), 1 general orthopedic department was in operation. In the postintervention period (2017–2018), 2 separate departments were created: one designated for elective “clean” surgeries and another that included a “complicated wound” unit. A multifaceted strategy including infection prevention measures and introducing antibiotic stewardship practices was implemented. Admission rates, hand hygiene practice compliance, surgical site infections, and antibiotic treatment before versus after the intervention were analyzed. Results: The number of admissions and hospitalization days in the 2 periods did not change. Seven-day readmissions per annual quarter decreased significantly from the preintervention period (median, 7 days; interquartile range [IQR], 6–9) to the postintervention period (median, 4 days; IQR, 2–7; P = .038). Hand hygiene compliance increased and surgical site infections decreased in the postintervention period. Although total antibiotic use was not reduced, there was a significant change in the breakdown of the different antibiotic classes used before and after the intervention: increased use of narrow-spectrum β-lactams (P < .001) and decreased use of β-lactamase inhibitors (P < .001), third-generation cephalosporins (P = .044), and clindamycin (P < .001). Conclusions: Restructuring the orthopedics department facilitated better infection prevention measures accompanied by antibiotic stewardship implementation, resulting in a decreased use of broad-spectrum antibiotics and a significant reduction in readmission rates.

scholarly journals 811. Impact of the COVID-19 Pandemic on Surgical Volume and Surgical Site Infections (SSI) in a Large Network of Community Hospitals

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S499-S499
Author(s):  
Erin Gettler ◽  
Jessica Seidelman ◽  
Becky A Smith ◽  
Deverick J Anderson
Keyword(s):  
Infection Prevention ◽  
Care Delivery ◽  
Operative Procedure ◽  
Surgical Care ◽  
Coronary Bypass ◽  
Surgical Site Infections ◽  
Large Network ◽  
Community Hospitals ◽  
Outbreak Management ◽  
The Impact

Abstract Background The COVID-19 pandemic significantly impacted hospitalizations and healthcare utilization. Diversion of infection prevention resources toward COVID-19 mitigation limited routine infection prevention activities such as rounding, observations, and education in all areas, including the peri-operative space. There were also changes in surgical care delivery. The impact of the COVID-19 pandemic on SSI rates has not been well described, especially in community hospitals. Methods We performed a retrospective cohort study analyzing prospectively collected data on SSIs from 45 community hospitals in the southeastern United States from 1/2018 to 12/2020. We included the 14 most commonly performed operative procedure categories, as defined by the National Healthcare Safety Network. Coronary bypass grafting was included a priori due to its clinical significance. Only facilities enrolled in the network for the full three-year period were included. We defined the pre-pandemic time period from 1/1/18 to 2/29/20 and the pandemic period from 3/1/20 to 12/31/20. We compared monthly and quarterly median procedure totals and SSI prevalence rates (PR) between the pre-pandemic and pandemic periods using Poisson regression. Results Pre-pandemic median monthly procedure volume was 384 (IQR 192-999) and the pre-pandemic SSI PR per 100 cases was 0.98 (IQR 0.90-1.04). There was a transient decline in surgical cases beginning in March 2020, reaching a nadir of 185 cases in April, followed by a return to pre-pandemic volume by June (figure 1). Overall and procedure-specific SSI PRs were not significantly different in the COVID-19 period relative to the pre-pandemic period (total PR per 100 cases 0.96 and 0.97, respectively, figure 2). However, when stratified by quarter and year, there was a trend toward increased SSI PR in the second quarter of 2020 with a PRR of 1.15 (95% CI 0.96-1.39, table 1). Conclusion The decline in surgical procedures early in the pandemic was short-lived in our community hospital network. Although there was no overall change in the SSI PR during the study period, there was a trend toward increased SSIs in the early phase of the pandemic (figure 3). This trend could be related to deferred elective cases or to a shift in infection prevention efforts to outbreak management. Disclosures All Authors: No reported disclosures

Manual of Infection Prevention and Control

2019 ◽  
Author(s):  
Nizam Damani
Keyword(s):  
Infectious Diseases ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Emerging Infectious Diseases ◽  
Surgical Site Infections ◽  
Building Design ◽  
Antimicrobial Activities ◽  
Cross Infection ◽  
Infection Prevention And Control ◽  
And Control

The Manual of Infection Prevention and Control provides practical guidance on all aspects of healthcare-associated infections (HAIs). It outlines the basic concepts of infection prevention and control (IPC), modes of transmission, surveillance, control of outbreaks, epidemiology, and biostatistics. The book provides up-to-date advice on the triage and isolation of patients and on new and emerging infectious diseases, and with the use of illustrations, it provides a step-by-step approach on how to perform hand hygiene and how to don and take off personal protective equipment correctly. In addition, this section also outlines how to minimize cross-infection by healthcare building design and prevent the transmission of various infectious diseases from infected patients after death. The disinfection and sterilization section reviews how to risk assess, disinfect and/or sterilize medical items and equipment, antimicrobial activities, and the use of various chemical disinfectants and antiseptics, and how to decontaminate endoscopes. The section on the prevention of HAIs reviews and updates IPC guidance on the prevention of the most common HAIs, i.e. surgical site infections, infections associated with intravascular and urinary catheters, and hospital- and ventilator-acquired pneumonias. In view of the global emergence of antimicrobial resistance to the various pathogens, the book examines and provides practical advice on how to implement an antibiotic stewardship programme and prevent cross-infection against various multi-drug resistant pathogens. Amongst other pathogens, the book also reviews IPC precautions against various haemorrhagic and bloodborne viral infections. The section on support services discusses the protection of healthcare workers, kitchen, environmental cleaning, catering, laundry services, and clinical waste disposal services.

Community nurses’ wound audit – a proxy measure for surgical site infections?

2011 ◽  
Vol 12 (6) ◽  
pp. 238-240
Author(s):  
Debbie King
Keyword(s):  
Health Care ◽  
Infection Prevention ◽  
Surgical Site Infections ◽  
Short Paper ◽  
Proxy Measure ◽  
Prevention Programmes

Surveillance of surgical site infections is an important element of infection prevention programmes. With the changing landscape of health care and patients being discharged earlier from hospital after surgery, understanding the true impact of infection is challenging. This short paper describes how one trust tried to tackle this problem by identifying the value of community nurses’ wound caseload audit as a proxy measure for surgical site infections.

Surgical Site Infections Following Bariatric Surgery in Community Hospitals: A Weighty Concern?

2010 ◽  
Vol 21 (7) ◽  
pp. 836-840 ◽  
Author(s):  
Joshua T. Freeman ◽  
Deverick J. Anderson ◽  
Matthew G. Hartwig ◽  
Daniel J. Sexton
Keyword(s):  
Bariatric Surgery ◽  
Surgical Site Infections ◽  
Community Hospitals

scholarly journals Implementation of an Infection Prevention Bundle to Reduce Surgical Site Infections and Cost Following Spine Surgery

JAMA Surgery ◽  
2016 ◽  
Vol 151 (10) ◽  
pp. 988 ◽  
Author(s):  
Joseph Featherall ◽  
Jacob A. Miller ◽  
E. Emily Bennett ◽  
Daniel Lubelski ◽  
Hannah Wang ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Infection Prevention ◽  
Surgical Site Infections
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