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2020, Number 1

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Ortho-tips 2020; 16 (1)

Postoperative measures for the prevention of surgical site infections in orthopedics

Pérez-Atanasio JM

Language: Spanish
References: 10
Page: 40-43
PDF size: 104.95 Kb.


ABSTRACT

Surgical site infections in the postoperative period are a constant concern of the orthopedist, endangering the lives of millions of patients each year, contributing to the spread of antibiotic resistance, and may be the cause of conflict in the doctor-patient relationship. In this article, we present the three main recommendations of the World Health Organization for its prevention: 1. Do not prolong the use of prophylactic antibiotics after surgery. 2. Use a standard dressing on surgical wounds. 3. Remove wound drainage when clinically indicated.


REFERENCES

  1. Global Guidelines for the Prevention of Surgical Site Infection. World Health Organization. 2016.

  2. Anderson DJ, Podgorny K, Berrios-Torres SI, Bratzler DW, Dellinger EP, Greene L, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014; 35 (6): 605-627.

  3. Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013; 70 (3): 195-283.

  4. Leaper D, Burman-Roy S, Palanca A, Cullen K, Worster D, Gautam-Aitken E, et al. Prevention and treatment of surgical site infection: summary of NICE guidance. BMJ. 2008; 337.

  5. Preventing surgical site infections. Key recommendations for practice. Dublin: Joint Royal College of Surgeons in Ireland/Royal College of Physicians of Ireland Working Group on Prevention of Surgical Site Infection; [Accessed 25 July 2016] 2012, Available in: https://www.rcpi.ie/wpcontent/uploads/2016/01/Preventing-Surgical-Site Infections-Key-Recommendations-for- Practice.pdf.

  6. Friese S, Willems FT, Loriaux SM, Meewis JM. Prophylaxis in gynaecological surgery: a prospective randomized comparison between single dose prophylaxis with amoxycillin/clavulanate and the combination of cefuroxime and metronidazole. J Antimicrob Chemother. 1989; 24 (Suppl. B): 213-216.

  7. Scottish Intercollegiate Guidelines Network. Antibiotic prophylaxis in surgery. [Accessed 10 May 2016] July 2008, updated April 2014. Edinburgh: Healthcare Improvement Scotland. Available in: http://www.sign.ac.uk/pdf/sign104.pdf.

  8. High impact intervention; care bundle to prevent surgical site infection. London: Department of Health; [Accessed 24 July 2016] 2011, Available in: http://hcai.dh.gov.uk/files/2011/03/2011-03-14-HII-Prevent-Surgical-Site-infection- FINAL.pdf.

  9. Dumville JC, Walter CJ, Sharp CA, Page T. Dressings for the prevention of surgical site infection. Cochrane Database Syst Rev. 2011; (7): CD003091.

  10. Dumville JC, Gray TA, Walter CJ, Sharp CA, Page T. Dressings for the prevention of surgical site infection. Cochrane Database Syst Rev. 2014; 9: CD003091.




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