ArticleWorld journal of surgery2011
Measures to prevent surgical site infections: what surgeons (should) do.
Article in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Intra-operative wound irrigation to reduce surgical site infections after abdominal surgery: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2015Pooled it
- Trial
- Surgical site infections: a scoping review on current intraoperative prevention measures.Annals of the Royal College of Surgeons of England · 2022Article
- Standard of Care and Outcomes of Primary Laparotomy Versus Laparotomy in Patients with Prior Open Abdominal Surgery (ReLap Study; DRKS00013001).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Challenges Related to Surgical Site Infection Prevention-Results after Standardized Bundle Implementation.Journal of clinical medicine · 2021Article
- Disparities in the regional, hospital and individual levels of antibiotic use in gallstone surgery in Sweden.BMC surgery · 2017Article
- Review of Subcutaneous Wound Drainage in Reducing Surgical Site Infections after Laparotomy.Surgery research and practice · 2015Review
- Anaesthetic perioperative management of patients with pancreatic cancer.World journal of gastroenterology · 2014Review
- Surgical site infections: epidemiology and microbiological aspects in trauma and orthopaedic surgery.International wound journal · 2013Review
- Preventing surgical site infections: is it just too sweet?World journal of surgery · 2011Article
- Standard perioperative management in gastrointestinal surgery.Langenbeck's archives of surgery · 2011Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe present study was designed to evaluate surgeons' strategies and adherence to preventive measures against surgical site infections (SSIs). MATERIALS AND
methodsAll 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 (COL).
resultsForty-five of 50 surgeons contacted (90%) responded. Smoking cessation and nutritional screening are regularly propagated by 1/3 and 1/2 of surgeons, respectively. Thirty-eight 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. Intra-abdominal 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% each).
conclusionsSurgeons' 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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