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https://www.readbyqxmd.com/read/27387479/methicillin-resistant-and-methicillin-sensitive-staphylococcus-aureus-screening-and-decolonization-to-reduce-surgical-site-infection-in-elective-total-joint-arthroplasty
#1
Scott M Sporer, Thea Rogers, Linda Abella
BACKGROUND: Deep infection after elective total joint arthroplasty remains a devastating complication. Preoperative nasal swab screening for Staphylococcus aureus colonization and subsequent treatment of colonized patients is one proposed method to identify at-risk patients and decrease surgical site infections (SSIs). The purpose of this study was to determine whether a preoperative staphylococcus screening and treatment program would decrease the incidence of SSI in elective joint arthroplasty patients...
September 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27159744/using-bundled-interventions-to-reduce-surgical-site-infection-after-major-gynecologic-cancer-surgery
#2
Megan P Johnson, Sharon J Kim, Carrie L Langstraat, Sneha Jain, Elizabeth B Habermann, Jean E Wentink, Pamela L Grubbs, Sharon A Nehring, Amy L Weaver, Michaela E McGree, Robert R Cima, Sean C Dowdy, Jamie N Bakkum-Gamez
OBJECTIVE: To investigate whether implementing a bundle, defined as a set of evidence-based practices performed collectively, can reduce 30-day surgical site infections. METHODS: Baseline surgical site infection rates were determined retrospectively for cases of open uterine cancer, ovarian cancer without bowel resection, and ovarian cancer with bowel resection between January 1, 2010, and December 31, 2012, at an academic center. A perioperative bundle was prospectively implemented during the intervention period (August 1, 2013, to September 30, 2014)...
June 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26836053/is-staphylococcal-screening-and-suppression-an-effective-interventional-strategy-for-reduction-of-surgical-site-infection
#3
Charles E Edmiston, Nathan A Ledeboer, Blake W Buchan, Maureen Spencer, Gary R Seabrook, David Leaper
BACKGROUND: Staphylococcus aureus has been recognized as a major microbial pathogen for over 100 y, having the capacity to produce a variety of suppurative and toxigenic disease processes. Many of these infections are life-threatening, with particularly enhanced virulence in hospitalized patients with selective risk factors. Strains of methicillin-resistant Staphylococcus aureus (MRSA) have rapidly spread throughout the healthcare environment such that approximately 20% of S. aureus isolates recovered from surgical site infections are methicillin-resistant, (although this is now reducing following national screening and suppression programs and high impact interventions)...
April 2016: Surgical Infections
https://www.readbyqxmd.com/read/26308490/evidence-for-a-standardized-preadmission-showering-regimen-to-achieve-maximal-antiseptic-skin-surface-concentrations-of-chlorhexidine-gluconate-4-in-surgical-patients
#4
RANDOMIZED CONTROLLED TRIAL
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
IMPORTANCE: To reduce the amount of skin surface bacteria for patients undergoing elective surgery, selective health care facilities have instituted a preadmission antiseptic skin cleansing protocol using chlorhexidine gluconate. A Cochrane Collaborative review suggests that existing data do not justify preoperative skin cleansing as a strategy to reduce surgical site infection. OBJECTIVES: To develop and evaluate the efficacy of a standardized preadmission showering protocol that optimizes skin surface concentrations of chlorhexidine gluconate and to compare the findings with the design and methods of published studies on preoperative skin preparation...
November 2015: JAMA Surgery
https://www.readbyqxmd.com/read/26308068/chlorhexidine-gluconate-4-showers-and-surgical-site-infection-reduction
#5
COMMENT
Zeinab M Alawadi, Lillian S Kao
No abstract text is available yet for this article.
November 2015: JAMA Surgery
https://www.readbyqxmd.com/read/25927093/preoperative-bathing-or-showering-with-skin-antiseptics-to-prevent-surgical-site-infection
#6
REVIEW
Joan Webster, Sonya Osborne
BACKGROUND: Surgical site infections (SSIs) are wound infections that occur after invasive (surgical) procedures. Preoperative bathing or showering with an antiseptic skin wash product is a well-accepted procedure for reducing skin bacteria (microflora). It is less clear whether reducing skin microflora leads to a lower incidence of surgical site infection. OBJECTIVES: To review the evidence for preoperative bathing or showering with antiseptics for preventing hospital-acquired (nosocomial) surgical site infections...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25695511/preoperative-bathing-or-showering-with-skin-antiseptics-to-prevent-surgical-site-infection
#7
Joan Webster, Sonya Osborne
BACKGROUND: Surgical site infections (SSIs) are wound infections that occur after invasive (surgical) procedures. Preoperative bathing or showering with an antiseptic skin wash product is a well-accepted procedure for reducing skin bacteria (microflora). It is less clear whether reducing skin microflora leads to a lower incidence of surgical site infection. OBJECTIVES: To review the evidence for preoperative bathing or showering with antiseptics for preventing hospital-acquired (nosocomial) surgical site infections...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25692267/evidence-update-on-prevention-of-surgical-site-infection
#8
REVIEW
David Leaper, Karen Ousey
PURPOSE OF REVIEW: Surgical site infection (SSI) is a common healthcare-associated infection and complicates up to 10-20% of operations with considerable strain on healthcare resources. Apart from the widely adopted use of appropriate hair removal, antibiotic prophylaxis, avoidance of hypothermia and perioperative glycaemic control to reduce SSIs, this review has considered new research and systematic reviews, and whether their findings should be included in guidelines. RECENT FINDINGS: The efficacy of preoperative bathing/showering, antibiotic prophylaxis for clean surgery and perioperative oxygen supplementation to reduce the risk of SSI is still in doubt...
April 2015: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/25539752/-what-s-new-in-instrumental-dermatology
#9
REVIEW
J-M Amici
This "What's new in instrumental dermatology" focuses on cutaneous oncologic surgery, base on a review of the 2012-2014 literature. First, the ability of dermatologists to make a good "oncologic reading of tumors" is the key of radical surgical treatment. Advantages and disadvantages of the biopsy are discussed. Then, the second message is the management of anticoagulants, that should not be interrupted for skin surgery. Despite recommendations, this practice is not followed in 40% of cases; this point is critical because bleeding complications are minor compared to potential morbidity of thrombotic events when stopping these medications...
December 2014: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/25442124/-what-is-the-scientific-basis-of-our-surgical-beliefs
#10
REVIEW
M Gorj, M Revol
The purpose of the study is to assess the validity of surgical beliefs and their application in the operating room… An exhaustive revue of literature was performed using PubMed and the Cochrane Library. We found over 400 articles, and chose to select the 135 most pertinent ones. Antiseptic hand washing and the use of sterile gloves are the main elements of SSI prevention. In this field, use of hydroalcoholic solutions and chlorhexidine seem to be the more efficient. Regarding the surgical gown, the use of masks and surgical hands contamination...
February 2015: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/25322531/preoperative-skin-antiseptics-for-preventing-surgical-site-infections-what-to-do
#11
Paule Poulin, Kelly Chapman, Lynda McGahan, Lea Austen, Trevor Schuler
BACKGROUND: Safe and effective patient preoperative skin antisepsis is recommended to prevent surgical site infections (SSIs), reduce patient morbidity, and reduce systemic costs. However, there is lack of consensus among best practice recommendations regarding the optimal skin antiseptic solution and method of application. METHODS: In 2010 and 2011 the health technology appraisal committee of the Surgery Operational Clinical Network (SOCN), of Alberta Health Services (AHS), conducted an environmental scan to determine the current preoperative skin antisepsis in Alberta, reviewed key publications and existing guidelines, and requested a systematic review from the Canadian Agency for Drugs and Technologies in Health (CADTH)...
September 2014: ORNAC Journal
https://www.readbyqxmd.com/read/25134645/weekly-chlorhexidine-douche-does-it-reduce-healthcare-associated-bloodstream-infections
#12
Derya Seyman, Nefise Oztoprak, Hande Berk, Filiz Kizilates, Mestan Emek
BACKGROUND: Daily chlorhexidine (CHG) bathing has been used as a precaution to reduce the rate of healthcare-associated bloodstream infections (HA-BSI). The application frequency of CHG bathing remains unclear, this procedure has been implemented daily by this time. The aim of this study was to determine the efficacy of weekly whole-body douche with CHG shower gel on rates of HA-BSI. METHODS: We conducted a prospective intervention trial in medical, surgical, and anesthesiology intensive care units (ICUs) in a tertiary teaching hospital from June 2011 to November 2012...
October 2014: Scandinavian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/24880956/empowering-the-surgical-patient-a-randomized-prospective-analysis-of-an-innovative-strategy-for-improving-patient-compliance-with-preadmission-showering-protocol
#13
RANDOMIZED CONTROLLED TRIAL
Charles E Edmiston, Candace J Krepel, Sarah E Edmiston, Maureen Spencer, Cheong Lee, Kellie R Brown, Brian D Lewis, Peter J Rossi, Michael Malinowski, Gary Seabrook
BACKGROUND: Surgical site infections (SSIs) are responsible for significant morbidity, mortality, and excess use of health care resources. The preadmission antiseptic shower is accepted as an effective strategy for reducing the risk for SSIs. The study analyzes the benefit of an innovative electronic patient alert system (EAS) for enhancing compliance with a preadmission showering protocol with 4% chlorhexidine gluconate (CHG). STUDY DESIGN: After providing informed consent, 80 volunteers were randomized to 4 CHG showering groups...
August 2014: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/24773797/care-bundle-to-prevent-methicillin-resistant-staphylococcus-aureus-sternal-wound-infection-after-off-pump-coronary-artery-bypass
#14
Chen-Yen Chien, Cheng-Hsin Lin, Ron-Bin Hsu
Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P = .03). Care bundle was more protective against MRSA infection (2.3% vs 0...
May 2014: American Journal of Infection Control
https://www.readbyqxmd.com/read/24622912/preoperative-skin-disinfection-methodologies-for-reducing-prosthetic-joint-infections
#15
REVIEW
Samik Banerjee, Bhaveen H Kapadia, Michael A Mont
Surgical site infections following lower extremity total joint arthroplasty procedures remain a substantial economic burden to the patient, the treating institution, and the health care system. The complexity of these surgical procedures creates the potential for various patient- or surgery-related risk factors for infection. Although there is much literature regarding the use of many preventative methods, a consensus regarding the true efficacy and application of such practices is generally not available. In this review, we reviewed the preoperative skin disinfection methodologies that have been used for reducing periprosthetic infections following lower extremity total joint arthroplasty...
August 2014: Journal of Knee Surgery
https://www.readbyqxmd.com/read/23871467/preoperative-decolonization-effective-at-reducing-staphylococcal-colonization-in-total-joint-arthroplasty-patients
#16
Antonia F Chen, Alma E Heyl, Peter Z Xu, Nalini Rao, Brian A Klatt
Staphylococcus decolonization prior to surgery is used to prevent surgical site infections (SSIs) after total joint arthroplasty (TJA). To determine if current treatment protocols result in successful decolonization of methicillin-sensitive S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA), 106 consecutive patients were screened for nasal MSSA/MRSA colonization pre-operatively and on the day of surgery. Colonized patients used intranasal mupirocin twice a day and chlorhexidine showers daily 5 days prior to surgery...
September 2013: Journal of Arthroplasty
https://www.readbyqxmd.com/read/23711958/an-update-on-modifiable-factors-to-reduce-the-risk-of-surgical-site-infections
#17
REVIEW
Jason W Savage, Paul A Anderson
BACKGROUND CONTEXT: Despite an increase in physician and public awareness and advances in infection control practices, surgical site infection (SSI) remains to be one of the most common complications after an operation. Surgical site infections have been shown to decrease health-related quality of life, double the risk of readmission, prolong the length of hospital stay, and increase hospital costs. PURPOSE: To critically evaluate the literature and identify modifiable factors to reduce the risk of SSI...
September 2013: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/23622749/reducing-the-risk-of-surgical-site-infections-does-chlorhexidine-gluconate-provide-a-risk-reduction-benefit
#18
REVIEW
Charles E Edmiston, Benjamin Bruden, Maria C Rucinski, Cindy Henen, Mary Beth Graham, Brian L Lewis
Chlorhexidine gluconate (CHG) has been available as a topical antiseptic for over 50 years, having broad clinical application throughout the health care environment. Evidence-based clinical studies have shown chlorhexidine gluconate to be a safe and effective perioperative skin-prepping agent. Renewed interest has emerged for use of the antiseptic bath/shower to reduce the microbial skin burden prior to hospital admission. Recent clinical studies have documented that multiple applications of 2% or 4% CHG using a standardized protocol results in high skin surface concentrations sufficient to inhibit/kill skin colonizing flora, including methicillin-resistant Staphylococcus aureus...
May 2013: American Journal of Infection Control
https://www.readbyqxmd.com/read/23041806/effect-of-hospital-wide-chlorhexidine-patient-bathing-on-healthcare-associated-infections
#19
Mark E Rupp, R Jennifer Cavalieri, Elizabeth Lyden, Jennifer Kucera, MaryAnn Martin, Teresa Fitzgerald, Kate Tyner, James R Anderson, Trevor C VanSchooneveld
BACKGROUND: Chlorhexidine gluconate (CHG) bathing has been used primarily in critical care to prevent central line-associated bloodstream infections and infections due to multidrug-resistant organisms. The objective was to determine the effect of hospital-wide CHG patient bathing on healthcare-associated infections (HAIs). DESIGN: Quasi-experimental, staged, dose-escalation study for 19 months followed by a 4-month washout period, in 3 cohorts. SETTING: Academic medical center...
November 2012: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/22972080/preoperative-bathing-or-showering-with-skin-antiseptics-to-prevent-surgical-site-infection
#20
REVIEW
Joan Webster, Sonya Osborne
BACKGROUND: Surgical site infections (SSIs) are wound infections that occur after invasive (surgical) procedures. Preoperative bathing or showering with an antiseptic skin wash product is a well-accepted procedure for reducing skin bacteria (microflora). It is less clear whether reducing skin microflora leads to a lower incidence of surgical site infection. OBJECTIVES: To review the evidence for preoperative bathing or showering with antiseptics for preventing hospital-acquired (nosocomial) surgical site infections...
2012: Cochrane Database of Systematic Reviews
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