Glycemic control strategies and the occurrence of surgical site infection: a systematic review

Abstract

Objective:To analyze the available evidence in the scientific literature on the relationship between glycemic control strategies performed and the occurrence of surgical site infection in adult patients undergoing surgery. Method: This is a systematic review, through the CINAHL, Medline, LILACS, Cochrane Database of Systematic Reviews, and EMBASE, which included 8 studies. Results: Despite the diversity of tested interventions, studies agree that glycemic control is essential to reduce surgical site infection rates and should be kept between 80 and 120 mg/dl during the perioperative period. Insulin continuous infusion during surgery was the most tested and seems to get better results in reducing surgical site infection rates and success in glycemic control compared to other strategies. Conclusion: Strict glycemic control during the perioperative benefits the recovery of surgical patients, especially for the successful implementation of the measure the performance of the nursing team. DESCRIPTORS

Implementation of bundles in preventing infection after total hip arthroplasty

“…Glucose control is essential in reducing SSI rates. Blood glucose levels should be maintained between 80 and 120 mg/dl during the perioperative period (Domingos, Lida, & Poveda, 2016). The association between diabetes and the occurrence of SSI is not statistically significant in this study.…”

Nursing interventions to reduce surgical site infection in potentially contaminated surgeries: an integrative review

“…Intraoperative nursing interventions are associated with surgical environment 15,18,19 , surgical antisepsis of the hands with degermating antiseptic or alcohol-based product 15,19, potential for contamination of operative wound 18,19 , surgical duration 19 and sterile glove replacement 15 . These interventions were also recommended in national 1,8 and international original articles 28 , national 29 and international systematic reviews 30 , and in the recommendations established by the Centers for Disease Control and Prevention (CDC) 31 .…”

Lesões provenientes de procedimento cirúrgico: fatores relacionados

“…Trata-se de um estudo retrospectivo, do tipo revisão integrativa da literatura, com recorte temporal de seis anos. Para a elaboração da revisão, foram fundamentadas as seguintes etapas: definição da pergunta norteadora, objetivos, busca de evidências na literatura, estabelecimento de critérios de inclusão e exclusão de artigos, análise, checagem, discussão e apresentação dos resultados 7 .…”