Evidence-based practice in perioperative infection control

DOI
  • Muramatsu Yuki
    Department of Infection Control and Prevention, Aichi Medical University Hospital
  • Yamagishi Yuka
    Department of Infection Control, Kochi Medical School
  • Mikamo Hiroshige
    Department of Infection Control and Prevention, Aichi Medical University Hospital

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Other Title
  • エビデンスに基づく周術期感染管理の実践

Abstract

<p>Bundle approach would be useful for prevention of surgical site infections (SSIs). However, it is difficult to implement all the measures that have evidence at the institute. In Aichi Medical University Hospital, we have not been able to implement all the measures for SSI prevention. We have selected the measures that are have evidence for SSI prevention, and have put into practice according to the current state of our institute. At first, we have analyzed SSI of patients who underwent rectal resection at Aichi Medical University Hospital from January 2016. As a result, it became clear that there have been a lot of surface SSI infections in 2017. We have decided to introduce closed wound surgical instrument set for the purpose of exchanging instruments. After introducing closed wound surgical instrument set, the incidence of SSI in patients with receiving colorectal operation decreased from 22.6% (January 2017 to September 2017) before the introduction of device replacement to 9.6% (October 2017 to December 2018) (P=0.06). From our experience, we have concluded that the analysis of current situation of each institute would be important, and that implementation one by one according to the surveillance data importance would be also useful for reducing SSI.</p>

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