ArticleJournal of clinical medicine2021
Challenges Related to Surgical Site Infection Prevention-Results after Standardized Bundle Implementation.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Wound infection prevention strategies in colorectal endoscopic mucosal resection: A meta-analysis of prophylactic measures.International wound journal · 2024Pooled it
- Surgical approach to intraabdominal sepsis: a damage control approach can reduce stoma rates.Surgical endoscopy · 2025Article
- The Nursing Organisational Context and the Surgical Site Infections: A Structural Equational Model.Nursing open · 2025Observational
- Review
- Review
- Association between the introduction of a national targeted intervention program and the incidence of surgical site infections in Swiss acute care hospitals.Antimicrobial resistance and infection control · 2023Article
- Prospective compliance assessment of surgical site infection prevention measures in colorectal surgery.BJS open · 2023Article
- Sustaining Improvements of Surgical Site Infections by Six Sigma DMAIC Approach.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this study was to assess the implementation of an intraoperative standardized surgical site infection (SSI) prevention bundle.
methodsThe multimodal, evidence-based care bundle included nine intraoperative items (antibiotic type, timing, and re-dosing; disinfection; induction temperature control > 36.5°; glove change; intra-cavity lavage; wound protection; and closure strategy). The bundle was applied to all consecutive patients undergoing colonic resections. The primary outcome, SSI, was independently assessed by the National Infection Surveillance Committee for up to 30 postoperative days. A historical, institutional pre-implementation control group (2012-2017) with an identical methodology was used for comparison.
findingsIn total, 1516 patients were included, of which 1256 (82.8%) were in the control group and 260 (17.2%) were in the post-implementation group. After 2:1 propensity score matching, the groups were similar for all items (
conclusionsThe implementation of an intraoperative standardized care bundle had no impact on SSI rates. This may be explained by insufficient compliance with the individual measures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.