Razavi International Journal of Medicine

Published by: Kowsar

Comprehensive Preventive Approach to Surgical Site Infections (SSIs): A Review

Seyed Mansour Razavi 1 , 2 , Leila Seddigh 1 , * and Farnaz Khatami 1
Authors Information
1 Department of Community Medicine, Tehran University of Medical Sciences, Tehran, Iran
2 Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran
Article information
  • Razavi International Journal of Medicine: In Press (In Press); e14047
  • Published Online: January 21, 2018
  • Article Type: Review Article
  • Received: June 14, 2017
  • Revised: July 28, 2017
  • Accepted: November 13, 2017
  • DOI: 10.5812/rijm.14047

To Cite: Razavi S M, Seddigh L, Khatami F. Comprehensive Preventive Approach to Surgical Site Infections (SSIs): A Review, Razavi Int J Med. Online ahead of Print ; In Press(In Press):e14047. doi: 10.5812/rijm.14047.

Copyright © 2018, Razavi International Journal of Medicine. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Context
2. Evidence Acquisition
3. Results
4. Primordial Activities (by Health Managers)
5. Primary Prevention
6. Secondary Prevention
7. Tertiary Prevention
8. Quaternary Prevention
9. Malpractices and Measures That Are Taken to Prevent Them
10. Discussion
11. Conclusion
  • 1. Razavi SM, Ibrahimpoor M, Sabouri Kashani A, Jafarian A. Abdominal surgical site infections: incidence and risk factors at an Iranian teaching hospital. BMC Surg. 2005;5:2. doi: 10.1186/1471-2482-5-2. [PubMed: 15733323].
  • 2. Spagnolo AM, Ottria G, Amicizia D, Perdelli F, Cristina ML. Operating theatre quality and prevention of surgical site infections. J Prev Med Hyg. 2013;54(3):131-7. [PubMed: 24783890].
  • 3. Magill SS, Hellinger W, Cohen J, Kay R, Bailey C, Boland B, et al. Prevalence of healthcare-associated infections in acute care hospitals in Jacksonville, Florida. Infect Control Hosp Epidemiol. 2012;33(3):283-91. doi: 10.1086/664048. [PubMed: 22314066].
  • 4. Womens NCCf , Health Cs . Surgical site infection, prevention and treatment of surgical site infection. London: RCOG Press; 2008.
  • 5. Edmark L, Auner U, Hallen J, Lassinantti-Olowsson L, Hedenstierna G, Enlund M. A ventilation strategy during general anaesthesia to reduce postoperative atelectasis. Ups J Med Sci. 2014;119(3):242-50. doi: 10.3109/03009734.2014.909546. [PubMed: 24758245].
  • 6. Hopkins J. Complications from preventable surgical site infections leading to hospital readmissions after colon surgery. Manchester: News Medical. net, An AZoNetwork Site; 2011. Available from: http://www.news-medical.net/news/20111117/Complications-from-preventable-surgical-site-infections-leading-to-hospital-readmissions-after-colon-surgery.aspx.
  • 7. Lubega A, Joel B, Justina Lucy N. Incidence and Etiology of Surgical Site Infections among Emergency Postoperative Patients in Mbarara Regional Referral Hospital, South Western Uganda. Surg Res Pract. 2017;2017:6365172. doi: 10.1155/2017/6365172. [PubMed: 28168215].
  • 8. Jamoulle M. The four duties of family doctors, quaternary prevention, first, do no harm. 36. Hong Kong: Hong Kong Practitioner; 2014.
  • 9. Uckay I, Harbarth S, Peter R, Lew D, Hoffmeyer P, Pittet D. Preventing surgical site infections. Expert Rev Anti Infect Ther. 2010;8(6):657-70. doi: 10.1586/eri.10.41. [PubMed: 20521894].
  • 10. Poggio JL. Perioperative strategies to prevent surgical-site infection. Clin Colon Rectal Surg. 2013;26(3):168-73. doi: 10.1055/s-0033-1351133. [PubMed: 24436669].
  • 11. Reichman DE, Greenberg JA. Reducing surgical site infections: a review. Rev Obstet Gynecol. 2009;2(4):212-21. [PubMed: 20111657].
  • 12. Aksamija G, Mulabdic A, Rasic I, Aksamija L. Evaluation of risk factors of surgical wound dehiscence in adults after laparotomy. Med Arch. 2016;70(5):369-72. doi: 10.5455/medarh.2016.70.369-372. [PubMed: 27994299].
  • 13. Kempegowda H, Richard R, Borade A, Tawari A, Graham J, Suk M, et al. Obesity is associated with high perioperative complications among surgically treated intertrochanteric fracture of the femur. J Orthop Trauma. 2017;31(7):352-7. doi: 10.1097/BOT.0000000000000825. [PubMed: 28323791].
  • 14. Olsen LL, Moller AM, Brorson S, Hasselager RB, Sort R. The impact of lifestyle risk factors on the rate of infection after surgery for a fracture of the ankle. Bone Joint J. 2017;99-B(2):225-30. doi: 10.1302/0301-620X.99B2.BJJ-2016-0344.R1. [PubMed: 28148665].
  • 15. Ooi A, Song DH. Reducing infection risk in implant-based breast-reconstruction surgery: challenges and solutions. Breast Cancer (Dove Med Press). 2016;8:161-72. doi: 10.2147/BCTT.S97764. [PubMed: 27621667].
  • 16. Hopkins J. Surgical site infections, health library johns hopkins medicine. USA: Johns Hopkins Medicine; 2017. Available from: http://www.hopkinsmedicine.org/healthlibrary/conditions/surgical_care/surgical_site_infections_134,144.
  • 17. Shabanzadeh DM, Sorensen LT. Alcohol Consumption Increases Post-Operative Infection but Not Mortality: A Systematic Review and Meta-Analysis. Surg Infect (Larchmt). 2015;16(6):657-68. doi: 10.1089/sur.2015.009. [PubMed: 26244748].
  • 18. Zeba S, Surbatovic M, Marjanovic M, Jevdjic J, Hajdukovic Z, Karkalic R, et al. Efficacy of external warming in attenuation of hypothermia in surgical patients. Vojnosanit Pregl. 2016;73(6):566-71. [PubMed: 27498449].
  • 19. Fukuda H. Patient-related risk factors for surgical site infection following eight types of gastrointestinal surgery. J Hosp Infect. 2016;93(4):347-54. doi: 10.1016/j.jhin.2016.04.005. [PubMed: 27209057].
  • 20. Pulido L, Ghanem E, Joshi A, Purtill JJ, Parvizi J. Periprosthetic joint infection: the incidence, timing, and predisposing factors. Clin Orthop Relat Res. 2008;466(7):1710-5. doi: 10.1007/s11999-008-0209-4. [PubMed: 18421542].
  • 21. Harrington P. Surgical site infection, NICE quality standards, public health England. England: Public health England; [2017]. Available from: https://www.healthcareconferencesuk.co.uk/news/newsfiles/pauline-harrington_513.pdf.
  • 22. Lefebvre J, Buffet Bataillon S, Henaux PL, Riffaud L, Morandi X, Haegelen C. Staphylococcus aureus screening and decolonization reduces the risk of surgical site infections in patients undergoing deep brain stimulation surgery. J Hosp Infect. 2017;95(2):144-7. doi: 10.1016/j.jhin.2016.11.019. [PubMed: 28081909].
  • 23. Murphy J. Temperature and humidity control in surgery rooms. ASHRAE J. 2006;48(6):18.
  • 24. Guo J, Pan LH, Li YX, Yang XD, Li LQ, Zhang CY, et al. Efficacy of triclosan-coated sutures for reducing risk of surgical site infection in adults: a meta-analysis of randomized clinical trials. J Surg Res. 2016;201(1):105-17. doi: 10.1016/j.jss.2015.10.015. [PubMed: 26850191].
  • 25. Cheadle WG. Risk factors for surgical site infection. Surg Infect, (Larchmt). 2006;7 Suppl 1:7-11. doi: 10.1089/sur.2006.7.s1-7. [PubMed: 16834549].
  • 26. Nagaria T, Kujur A, Thakur N. Incision length, an emerging risk factors for surgical‐site infection following cesarean section. Int J Reprod Contracept Obstet Gynecol. 2017;6(5):1829. doi: 10.18203/2320-1770.ijrcog20171566.
  • 27. Brathwaite S, Latchana N, Esemuede I, Harzman A, Husain S. Risk factors for surgical site infection in open and laparoscopic hartmann closure, a multivariate analysis. Surg Laparosc Endosc Percutan Tech. 2017;27(1):51-3. doi: 10.1097/SLE.0000000000000365. [PubMed: 28145967].
  • 28. Sarkut P, Kilicturgay S, Aktas H, Ozen Y, Kaya E. Routine use of prophylactic antibiotics during laparoscopic cholecystectomy does not reduce the risk of surgical site infections. Surg Infect, (Larchmt). 2017;18(5):603-9. doi: 10.1089/sur.2016.265. [PubMed: 28375803].
  • 29. Wang Z, Anderson FJ, Ward M, Bhattacharyya T. Surgical site infections and other postoperative complications following prophylactic anticoagulation in total joint arthroplasty. PLoS One. 2014;9(4):91755. doi: 10.1371/journal.pone.0091755. [PubMed: 24717837].
  • 30. Peterson JW. Medical microbiology. 4 ed. In: Baron S, editor. Galveston, Texas: University of Texas Medical Branch at Galveston,; 1996. Bacterial pathogenesis.
  • 31. Tcholakian RK, Raad ,I. Durability of anti-infective effect of long-term silicone sheath catheters impregnated with antimicrobial agents. Antimicrob Agents Chemother. 2001;45(7):1990-3. doi: 10.1128/AAC.45.7.1990-1993.2001. [PubMed: 11408213].
  • 32. Jabbari H, Alikhah H, Sahebkaram Alamdari N, Behzad MN, Mehrabi E, Borzui L, et al. Developing the use of quality indicators in sterilization practices. Iran J Public Health. 2012;41(7):64-9. [PubMed: 23113212].
  • 33. Lindau ST, Laumann EO, Levinson W, Waite LJ. Synthesis of scientific disciplines in pursuit of health, the interactive biopsychosocial model. Perspect Biol Med. 2003;46(3 Suppl):74-86. [PubMed: 14563076].
  • 34. Swoboda SM, Earsing K, Strauss K, Lane S, Lipsett PA. Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit. Crit Care Med. 2004;32(2):358-63. doi: 10.1097/01.CCM.0000108866.48795.0F. [PubMed: 14758148].
  • 35. Leng XS, Zhao YJ, Qiu HZ, Cao YK, Zhu WH, Shen JF, et al. Ertapenem prophylaxis of surgical site infections in elective colorectal surgery in China: a multicentre, randomized, double-blind, active-controlled study. J Antimicrob Chemother. 2014;69(12):3379-86. doi: 10.1093/jac/dku302. [PubMed: 25151205].
  • 36. Boam T, Sellars P, Isherwood J, Hollobone C, Pollard C, Lloyd DM, et al. Adherence to vaccination guidelines post splenectomy, a five year follow up study. J Infect Public Health. 2017;10(6):803-8. doi: 10.1016/j.jiph.2017.01.006. [PubMed: 28189514].
  • 37. Zhu Y, Liu S, Zhang X, Chen W, Zhang Y. Incidence and risks for surgical site infection after adult tibial plateau fractures treated by ORIF, a prospective multicentre study. Int Wound J. 2017;14(6):982-8. doi: 10.1111/iwj.12743. [PubMed: 28303656].
  • 38. Li PY, Yang D, Liu D, Sun SJ, Zhang LY. Reducing surgical site infection with negative pressure wound therapy after open abdominal surgery, a prospective randomized controlled study. Scand J Surg. 2017;106(3):189-95. doi: 10.1177/1457496916668681. [PubMed: 27609528].
  • 39. da Mata LR, da Silva AC, Pereira Mda G, de Carvalho EC. Telephone follow-up of patients after radical prostatectomy: a systematic review. Rev Lat Am Enfermagem. 2014;22(2):337-45. doi: 10.1590/0104-1169.3314.2421. [PubMed: 26107844].
  • 40. Cheatle MD. Biopsychosocial Approach to Assessing and Managing Patients with Chronic Pain. Med Clin North Am. 2016;100(1):43-53. doi: 10.1016/j.mcna.2015.08.007. [PubMed: 26614718].
  • 41. Claas SA, Arnett DK. The Role of Healthy Lifestyle in the Primordial Prevention of Cardiovascular Disease. Curr Cardiol Rep. 2016;18(6):56. doi: 10.1007/s11886-016-0728-7. [PubMed: 27142061].
  • 42. Starfield B, Hyde J, Gervas J, Heath I. The concept of prevention: a good idea gone astray?. J Epidemiol Community Health. 2008;62(7):580-3. doi: 10.1136/jech.2007.071027. [PubMed: 18559439].
  • 43. Sato T. [Infection control in hospitals]. Masui. 2010;59(1):56-63. [PubMed: 20077771].
  • 44. Sheridan SL, Harris RP, Woolf SH, Shared Decision-Making Workgroup of the USTF. Shared decision making about screening and chemoprevention. a suggested approach from the U.S. Preventive Services Task Force. Am J Prev Med. 2004;26(1):56-66. [PubMed: 14700714].
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