Perioperative, local and systemic warming in surgical site infection: a systematic review and meta-analysis

Ousey, Karen; Edward, Karen‐Leigh; Lui, Sun Chong; Stephenson, John; Walker, Kim; Duff, Jed; Leaper, David

doi:10.12968/jowc.2017.26.11.614

Cited by 17 publications

(12 citation statements)

References 22 publications

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“…Available guidelines recommend preventing perioperative hypothermia to help reduce the risk of developing an SSI 1,4,5,19 . Therefore, perioperative personnel should closely monitor a surgical patient’s body temperature, 25,51,52 use active 25,51,52 or passive 25,52 warming methods during surgery, and administer warmed IV fluids or blood products to help maintain the patient’s normal body temperature 25,51,52 . When researchers studied the effectiveness of active or passive warming methods, the results showed that the applications effectively reduced but did not eliminate perioperative hypothermia 51,53,54 .…”

Section: Discussionmentioning

confidence: 99%

The Role of Perioperative Hypothermia in the Development of Surgical Site Infection: A Systematic Review

Cengiz¹,

Uçar²,

Yilmaz³

2021

AORN Journal

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Surgical patients may experience inadvertent perioperative hypothermia, a condition that can cause a variety of complications, including surgical site infection (SSI). The authors of this systematic review used the Preferred Reporting Items for Systematic Review and Meta‐Analysis Protocols guidelines to examine the role of perioperative hypothermia in the development of SSI. The authors searched the PubMed, Cumulative Index Nursing and Allied Health Literature, Cochrane, and ScienceDirect databases for eligible articles published between January 2008 and November 2018 and identified seven studies that met the inclusion criteria. The results of this review indicate that the relationship between hypothermia and SSI is closely related to the type of the surgical intervention performed (eg, emergent, colorectal), and that severe hypothermia (eg, <35.0° C [95.0° F]) can increase the risk of developing an SSI. Perioperative nurses should monitor patients for inadvertent hypothermia and prevent its occurrence when possible.

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Section: Discussionmentioning

confidence: 99%

The Role of Perioperative Hypothermia in the Development of Surgical Site Infection: A Systematic Review

Cengiz¹,

Uçar²,

Yilmaz³

2021

AORN Journal

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“…3 Ousey ve ark.nın çalışmasında, ameliyat öncesi, sırası, sonrası dönemde aktif ısıtmanın İPH nedeni ile ortaya çıkan cerrahi alan enfeksiyonu görülme riskini azalttığına yönelik kanıtlara ulaşılmıştır. 36 Çalışmada, hemşirelerin çoğunun aktif ısıtma yöntemleri konusunda bilgi sahibi oldukları saptanmıştır. Ancak, hemşirelerin çoğunun "Isıtılmış pamuk battaniyeleri kullanma" ve "İntravenöz amino asit infüzyonu uygulama" yöntemini yanlış bildikleri gözlenmiştir.…”

Section: Araştırmanın Etik Yönüunclassified

Determining the Knowledge and Interventions by Surgical Nurses for Inadvertent Perioperative Hypothermia Care

Tamer¹,

Karadağ²

2020

Turkiye Klinikleri J Nurs Sci

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İstenmeyen perioperatif hipotermi (İPH), anestezi almış hastalarda yaygın görülen bir komplikasyon olmasının yanı sıra cerrahi işlem sonrasında mortalite ve morbidite için önemli bir risk faktörüdür. 1,2 Ameliyat öncesi dönemden yani anesteziden bir saat önce başlayarak, anestezi sonrası ilk 24 saate ORİJİNAL ARAŞTIRMA ÖZET Amaç: Cerrahi hastalarının %50-90'ında istenmeyen perioperatif hipotermi (İPH) gelişme riski bulunmaktadır. Günümüzde İPH henüz tam olarak çözümlenmemiş sorunlardan biridir ve hemşirelik girişimleri arasında önemli bir yere sahiptir. Bu çalışma, cerrahi hemşirelerinin İPH bakımına yönelik bilgi düzeylerinin ve uygulamalarının belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Çalışmanın evrenini, iki üniversite ve iki eğitim ve araştırma hastanesinin cerrahi kliniklerinde Ağustos 2017-Aralık 2017 tarihleri arasında çalışan 245 hemşire oluşturmuştur. Çalışmaya katılmayı kabul eden 115 hemşire ile çalışma tamamlanmıştır. Verilerin toplanmasında araştırmacılar tarafından literatür doğrultusunda hazırlanan "Soru Formu", verilerin değerlendirilmesinde ise sayı, yüzde, tanımlayıcı istatistikler, Mann-Whitney U ve Kruskal-Wallis H testi kullanılmıştır. Bulgular: Çalışmada, hemşirelerin %19,1'inin İPH toplam bilgi puanı bölümünden başarılı oldukları saptanmıştır. Hemşirelerin çoğunun anesteziden bir saat önce İPH yönünden hastayı değerlendirmediği, sadece ameliyat sonrası ilk 24 saat içinde İPH yönünden hastayı değerlendirdiği tespit edilmiştir. Hemşirelerin %59,7'sinin ise ameliyat öncesi ısıtma işlemini yapmadığı belirlenmiştir. Sonuç: Hemşirelerin İPH bakımına yönelik bilgi ve uygulamalarının yeterli düzeyde olmadığı tespit edilmiştir. Cerrahi hemşirelerinin İPH bakımına yönelik bilgi düzeylerini ve uygulama oranlarını artırmaya yönelik eğitim programlarının düzenlenmesi ve klinik uygulama kılavuzlarının oluşturulması önerilmektedir. Anah tar Ke li me ler: Perioperatif hemşirelik; hipotermi; plansız hipotermi; hemşirelik bakımı ABS TRACT Objective: There is a risk of developing inadvertent perioperative hypothermia (IPH) in 50-90% of surgical patients. Today, IPH is one of the problems that have not been solved yet and has an important place among nursing interventions. This study was conducted as a descriptive study in order to determine the knowledge levels and applications of surgical nurses for IPH care. Material and Methods: The population of the study consisted of 245 nurses working between August and December 2017 in surgical clinics of two universities and two training and research hospitals. The study was completed with 115 nurses who agreed to participate in the study. In the data collection, the "Questionnaire" prepared by the researchers in line with the literature; In the evaluation of the data, number, percentage, descriptive statistics, Mann-Whitney U and Kruskal-Wallis H test were used. Results: In the study, it was found that 19.1% of the nurses were successful in the total knowledge score of IPH. It was found that most of the nurses did not evaluate the pati...

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“…There is evidence in favor of perioperative active warming to decrease the risk of SSIs. 93,94 Tsuchida et al 95 showed that severe (<35°C) and late-nadir (<36°C occurring after 2 hours of anesthesia induction) hypothermia were associated with a greater incidence of SSIs after prolonged gastroenterological surgery. In a case-control study, Brown et al 96 could not demonstrate a significant association between intraoperative hypothermia and SSIs in patients with clean surgical wounds.…”

Section: Intraoperative Preventive Measuresmentioning

confidence: 99%

Current Strategies in Prevention of Postoperative Infections in Spine Surgery

Ateşok

Papavassiliou

Heffernan

et al. 2019

Global Spine Journal

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Study Design: Narrative review. Objectives: Postoperative surgical site infections (SSIs) are among the most common acute complications in spine surgery and have a devastating impact on outcomes. They can lead to increased morbidity and mortality as well as greater economic burden. Hence, preventive strategies to reduce the rate of SSIs after spine surgery have become vitally important. The purpose of this article was to summarize and critically analyze the available evidence related to current strategies in the prevention of SSIs after spine surgery. Methods: A literature search utilizing Medline database was performed. Relevant studies from all the evidence levels have been included. Recommendations to decrease the risk of SSIs have been provided based on the results from studies with the highest level of evidence. Results: SSI prevention occurs at each phase of care including the preoperative, intraoperative, and postoperative periods. Meticulous patient selection, tight glycemic control in diabetics, smoking cessation, and screening/eradication of Staphylococcus aureus are some of the main preoperative patient-related preventive strategies. Currently used intraoperative measures include alcohol-based skin preparation, topical vancomycin powder, and betadine irrigation of the surgical site before closure. Postoperative infection prophylaxis can be performed by administration of silver-impregnated or vacuum dressings, extended intravenous antibiotics, and supplemental oxygen therapy. Conclusions: Although preventive strategies are already in use alone or in combination, further high-level research is required to prove their efficacy in reducing the rate of SSIs in spine surgery before evidence-based standard infection prophylaxis guidelines can be built.

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Perioperative, local and systemic warming in surgical site infection: a systematic review and meta-analysis

Abstract: This review provides evidence in favour of active warming to prevent SSI, but insufficient evidence of active warming to reduce length of hospital stay and mortality. Benefits of passive warming remain unclear and warrant further research.

Cited by 17 publications

References 22 publications

The Role of Perioperative Hypothermia in the Development of Surgical Site Infection: A Systematic Review

The Role of Perioperative Hypothermia in the Development of Surgical Site Infection: A Systematic Review

Determining the Knowledge and Interventions by Surgical Nurses for Inadvertent Perioperative Hypothermia Care

Current Strategies in Prevention of Postoperative Infections in Spine Surgery

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