Article

Methods of skin antisepsis for preventing SSIs.

De Montfort University, Leicester.
Nursing times 108(37):20, 22.
Source: PubMed

ABSTRACT Surgical site infections increase morbidity and mortality rates and raise costs to healthcare providers. Surgical skin antisepsis is one element in a bundle of interventions designed to prevent SSIs. This article summarises the most recent evidence and guidance on skin antisepsis.

1 Follower
 · 
145 Views
  • Trauma und Berufskrankheit 09/2013; 15(3-3):177-183. DOI:10.1007/s10039-013-2008-8
  • [Show abstract] [Hide abstract]
    ABSTRACT: Obwohl postoperative Wundinfektionen in der Dermatologie äußerst selten sind, müssen Ursachen und Risiken gut verstanden sein, um eine entsprechende Risikobewertung mit gezielter Infektprävention vornehmen zu können. Wundinfektionen verursachen häufig einen komplizierten, langwierigen und teuren Heilungsverlauf. Typische Erreger sind neben diversen multiresistenten Keimen Staphylococcus aureus, Staphylococcus epidermidis, hämolysierende Streptokokken und die Gram-negativen Stäbchen Escherichia coli und Pseudomonas aeruginosa. Ein funktionierendes Hygieneregime im Rahmen eines adäquaten Qualitätsmanagements gerade auch in der dermatologischen Praxis sollte die kritischen Punkte der Infektiogenese abdecken: Vorbereitung des Operationsfeldes, präoperative Hautdesinfektion, Händehygiene, sichere chirurgische Technik und Barrieremaßnahmen zum Schutz vor Erregerverbreitung. Die Basisinfektionsrate nach dermatochirurgischen Eingriffen ist niedrig, kann jedoch von der Implementierung risikoadaptierter Präventionsmaßnahmen profitieren.
    Der Hautarzt 01/2014; 65(1). DOI:10.1007/s00105-013-2633-y · 0.54 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Intraoperative bacterial contamination is a risk factor for surgical site infections (SSIs). This prospective, randomized, blinded, controlled trial (Reg. No. BB08/12) investigated the effect of a cyanoacrylate-based skin sealant (InteguSeal) on intraoperative wound contamination during trauma surgery. A total of 128 patients undergoing trauma surgery were assigned randomly to an intervention (n=62) or a control group (n=66). Surgical sites were investigated at three locations: maximum incision depth (base), wound margin prior to wound closure (margin), and the surgical sutures (suture). Colony-forming units (CFU) were counted after 48h of incubation. Overall, significantly lower CFU counts were obtained for samples from the intervention group at all three sample sites compared to the control group. The difference, however, was only significant for the suture site (p=0.040). Preoperative sealing reduced microbial contamination on sutures during surgery, while the overall wound contamination remained unchanged. Hence, prevention of the clinically more relevant deep SSIs may not be expected. However, this study was not designed to detect differences in the rate of SSI. The role of the reduction in suture contamination with regard to the prevention of SSI remains to be evaluated. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.
    International Journal of Infectious Diseases 10/2014; 29C:274-278. DOI:10.1016/j.ijid.2014.08.008 · 2.33 Impact Factor