IMPLEMENTING “BUNDLED INTERVENTIONS” IN REDUCING SURGICAL SITE INFECTIONS AMONG PATIENTS UNDERGOING SURGERY FOR GYNECOLOGICAL INDICATIONS – A PROSPECTIVE STUDY
DOI:
https://doi.org/10.22159/ajpcr.2024.v17i5.50099Keywords:
Surgical site infection, Care bundled intervention, Prevention of surgical site infectionAbstract
Objective: Surgical site infection (SSI) is the most common infection among surgical patients. This study evaluated the impact of bundled interventions in reducing SSI rates in gynecological surgery. Therefore, it is a vital tool to improve patient safety.
Methods: One hundred study participants were taken in the tertiary care hospital and divided into Group I and Group II. In Group I, 50 patients were involved in elective OT with bundled interventions, and in Group II, 50 controls operated in identical OT without bundled intervention. Incidence of SSI, type of SSI, antibiotic usage, need for secondary suturing, duration, etc., was noticed.
Results: Our findings showed that six out of fifty cases developed the symptoms with a 10% SSI rate. Two had superficial SSI, and three had deep SSI. None of the patients had organ space SSI. In the control group, the SSI rate was 12%. The bundled intervention was associated with a significant reduction in infection rate.
Conclusion: The study indicates that SSIs are associated with severe morbidity and mortality. It is a straightforward, feasible approach to the reduction of the SSI rate.
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Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC) hospital infection control practices advisory committee. Am J Infect Control. 1999;27(2):97-132; quiz 133; discussion 96. doi: 10.1016/S0196-6553(99)70088-X, PMID 10196487
Kilpatrick SJ, Berg C. Lessons of Severe Maternal Morbidity: A Better Understanding of SMM will Lead to Improved Care for All Women. Vol. 61. Chicago: Contemporary OB/GYN; 2016. p. 37.
Van Walraven C, Musselman R. The surgical site infection risk score (SSIRS): A model to predict the risk of surgical site infections. PLoS One. 2013;8(6):e67167. doi: 10.1371/journal.pone.0067167, PMID 23826224
Anderson DJ, Podgorny K, Berríos-Torres SI, Bratzler DW, Dellinger EP, Greene L, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014;35(Suppl 2):S66-88. doi: 10.1017/S0899823X00193869
Gregson H. Reducing surgical site infection following caesarean section. Nurs Stand. 2011;25(50):35-40. doi: 10.7748/ns2011.08.25.50.35. c8655
Lake AG, McPencow AM, Dick-Biascoechea MA, Martin DK, Erekson EA. Surgical site infection after hysterectomy. Am J Obstet Gynecol. 2013;209(5):490.e1-9. doi: 10.1016/j.ajog.2013.06.018, PMID 23770467
Pop-Vicas A, Musuuza JS, Schmitz M, Al-Niaimi A, Safdar N. Incidence and risk factors for surgical site infection post-hysterectomy in a tertiary care center. Am J Infect Control. 2017;45(3):284-7. doi: 10.1016/j.ajic.2016.10.008, PMID 27938988
Allegranzi B, Bischoff P, de Jonge S, Kubilay NZ, Zayed B, Gomes SM, et al. New WHO recommendations on preoperative measures for surgical site infection prevention: An evidence-based global perspective. Lancet Infect Dis. 2016;16(12):e276-87. doi: 10.1016/S1473-3099(16)30398-X
Nisha S, Rai S, Agrawal S, Banerjee G, Singh R. Role of “bundled intervention” in reducing surgical site infection rate in gynecologic surgeries. Int J Reprod Contracept Obstet Gynecol 2020;9:1457-62.
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