Journal
ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
Volume 6, Issue -, Pages -Publisher
BMC
DOI: 10.1186/s13756-017-0202-3
Keywords
Surgical site infection; Surgical wound infection; Patient participation; Empowered patient; Patient involvement; Patient education; Surgery; Hair removal; Staphylococcus aureus; MRSA; Screening; Decolonization; Hand hygiene; Smoking; Diabetes mellitus; Wound care; Surgical site care bundle; Infection control
Categories
Funding
- 3 M
- Ministerio de Economia y Competitividad, Instituto de Salud Carlos III
- European Development Regional Fund A way to achieve Europe ERDF, Spanish Network for the Research in Infectious Diseases [REIPI RD12/0015]
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Despite remarkable developments in the use of surgical techniques, ergonomic advancements in the operating room, and implementation of bundles, surgical site infections (SSIs) remain a substantial burden, associated with increased morbidity, mortality and healthcare costs. National and international recommendations to prevent SSIs have been published, including recent guidelines by the World Health Organization, but implementation into clinical practice remains an unresolved issue. SSI improvement programs require an integrative approach with measures taken during the pre-, intra- and postoperative care from the numerous stakeholders involved. The current SSI prevention strategies have focused mainly on the role of healthcare workers (HCWs) and procedure related risk factors. The importance and influence of patient participation is becoming an increasingly important concept and advocated as a means to improve patient safety. Novel interventions supporting an active participative role within SSI prevention programs have not been assessed. Empowering patients with information they require to engage in the process of SSI prevention could play a major role for the implementation of recommendations. Based on available scientific evidence, a panel of experts evaluated options for patient involvement in order to provide pragmatic recommendations for pre-, intra- and postoperative activities for the prevention of SSIs. Recommendations were based on existing guidelines and expert opinion. As a result, 9 recommendations for the surgical patient are presented here, including a practice brief in the form of a patient information leaflet. HCWs can use this information to educate patients and allow patient engagement.
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