Infection prevention in the OR: 3 interventions
Infection prevention in the OR: 3 interventions
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Although surgical-site infections (SSIs) are currently the most common and most costly healthcare-associated infection (HAI) up to 60% of SSIs have been estimated to be preventable by using evidence-based infection prevention practices. Surgical site infections can manifest as a superficial infection involving only the skin or develop into a deeper infection and involve tissues under the skin, organs, or implanted material. The CDC and other organizations provide guidelines to prevent risks in the preoperative, intraoperative and postoperative periods. The epidemiology of SSI and risk factors associated with their development are important in understanding the types of patients that develop SSI. Surgical site infections are identified using standardized definitions from the CDC and are a component of a facility's surveillance program. These infections are part of the reporting system to the National Health and Safety Network (NHSN) and most state Department of Health's mandatory reporting systems. It is important that the infection preventionist and OR staff understand the definition, surveillance methodology and reporting structure in their facility.Learning Objectives:Describe the clinical and economic impact of SSIs on patients and health care facilitiesProvide an outline of the evidence-based methodology currently employed by the CDC and the Hospital Infection Control Practices Advisory Committee (HICPAC) for developing guidelinesGive a brief overview of infection prevention measures in the surgical suite: surgical attire, traffic control, instrument sterilization, disinfection of the environment, monitoring of the air-handling systemUnderstand the evidence related to and protocols for 4 process-improvement measuresThis program is made possible by an educational grant from Johnson & Johnson Medical Devices Companies.
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