Adriana Cristina de Oliveira1,2, Camila Sarmento Gama2. 1. School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte-Minas Gerais, Brazil. 2. Center for Studies and Research in Infection-Related Health Care (NEPIRCS)/CNPq, Belo Horizonte-Minas Gerais, Brazil.
Abstract
BACKGROUND: Surgical teams play a critical role in reducing surgery-related risks during preoperative and intraoperative phases. AIM: To analyse the preoperative and intraoperative practices adopted by surgical teams in surgical site infections prevention. METHODS: This was a cross-sectional study conducted during April-September 2013 in a large university hospital in Belo Horizonte, Minas Gerais, Brazil. It was conducted through observation of the surgical practice during preoperative and intraoperative phases of procedures used by a gastroenterological, cardiovascular and paediatric surgical team. RESULTS: A total of 100 surgeries were monitored. Hair removal was performed for 20% of the patients inside the operating room by professionals using clippers in 65% of operations. The antimicrobial agent of choice was appropriate/satisfactory in 62% of the operations and administered up to 60 min before surgical incision in 90.3% of the cases. The operating room door was kept closed in 4% of these procedures. DISCUSSION: Some preoperative measures for surgical site infection prevention were not adhered to by the professionals who were monitored in this study. It is recommended that surgical teams undergo professional surveillance and training to highlight the necessity and importance of implementing measures to improve the quality of care provided to surgical patients.
BACKGROUND: Surgical teams play a critical role in reducing surgery-related risks during preoperative and intraoperative phases. AIM: To analyse the preoperative and intraoperative practices adopted by surgical teams in surgical site infections prevention. METHODS: This was a cross-sectional study conducted during April-September 2013 in a large university hospital in Belo Horizonte, Minas Gerais, Brazil. It was conducted through observation of the surgical practice during preoperative and intraoperative phases of procedures used by a gastroenterological, cardiovascular and paediatric surgical team. RESULTS: A total of 100 surgeries were monitored. Hair removal was performed for 20% of the patients inside the operating room by professionals using clippers in 65% of operations. The antimicrobial agent of choice was appropriate/satisfactory in 62% of the operations and administered up to 60 min before surgical incision in 90.3% of the cases. The operating room door was kept closed in 4% of these procedures. DISCUSSION: Some preoperative measures for surgical site infection prevention were not adhered to by the professionals who were monitored in this study. It is recommended that surgical teams undergo professional surveillance and training to highlight the necessity and importance of implementing measures to improve the quality of care provided to surgical patients.
Authors: Annette Erichsen Andersson; Ingrid Bergh; Jón Karlsson; Bengt I Eriksson; Kerstin Nilsson Journal: Am J Infect Control Date: 2012-01-29 Impact factor: 2.918
Authors: Dale W Bratzler; E Patchen Dellinger; Keith M Olsen; Trish M Perl; Paul G Auwaerter; Maureen K Bolon; Douglas N Fish; Lena M Napolitano; Robert G Sawyer; Douglas Slain; James P Steinberg; Robert A Weinstein Journal: Am J Health Syst Pharm Date: 2013-02-01 Impact factor: 2.637
Authors: Deverick J Anderson; Kelly Podgorny; Sandra I Berríos-Torres; Dale W Bratzler; E Patchen Dellinger; Linda Greene; Ann-Christine Nyquist; Lisa Saiman; Deborah S Yokoe; Lisa L Maragakis; Keith S Kaye Journal: Infect Control Hosp Epidemiol Date: 2014-06 Impact factor: 3.254
Authors: Charles E Edmiston; Cheong J Lee; Candace J Krepel; Maureen Spencer; David Leaper; Kellie R Brown; Brian D Lewis; Peter J Rossi; Michael J Malinowski; Gary R Seabrook Journal: JAMA Surg Date: 2015-11 Impact factor: 14.766