Authors: Michele Diana Martin Hübner MarieChristine Eisenring Giorgio Zanetti Nicolas Troillet Nicolas Demartines
Publish Date: 2010/11/19
Volume: 35, Issue: 2, Pages: 280-288
Abstract
All surgeons participating in a prospective Swiss multicentric surveillance program for SSIs received a questionnaire developed from the 2008 National United Kingdom Institute for Health and Clinical Excellence NICE clinical guidelines on prevention and treatment of SSIs We focused on perioperative management and surgical technique in hernia surgery cholecystectomy appendectomy and colon surgery COLFortyfive of 50 surgeons contacted 90 responded Smoking cessation and nutritional screening are regularly propagated by 1/3 and 1/2 of surgeons respectively Thirtyeight percent practice bowel preparation before COL Preoperative hair removal is routinely 90 performed in the operating room with electric clippers About 50 administer antibiotic prophylaxis within 30 min before incision Intraabdominal drains are common after COL 43 Two thirds of respondents apply nonocclusive wound dressings that are manipulated after hand disinfection 87 Dressings are usually changed on postoperative day POD 2 75 and wounds remain undressed on POD 2–3 or 4–5 36 eachSurgeons’ strategies to prevent SSIs still differ widely The adherence to the current NICE guidelines is low for many procedures regardless of the available level of evidence Further research should provide convincing data in order to justify standardization of perioperative management
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