APSIC guidelines for the prevention of surgical site infections

Ling, Moi Lin; Apisarnthanarak, Anucha; Abbas, Azlina Amir; Morikane, Keita; Lee, Kil Yeon; Warrier, Anup; Yamada, Koji

doi:10.1186/s13756-019-0638-8

Cited by 90 publications

(105 citation statements)

References 49 publications

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“…It has been shown that older people are more likely to develop SSI [16] ; in this study, age was not a predictor as observed using multivariate logistic regression analysis. Male patients had a signi cantly higher risk of SSI after EAS than females (OR 2.204, 95% CI 1.178 -8.985, P = 0.010); while this is partly debated, multiple studies have found signi cantly higher rates of SSI in male patients than in females [17,18].…”

Section: Discussioncontrasting

confidence: 53%

Surgical Site Infection After Emergency Abdominal Surgery in China: A Multicenter Prospective Study

Li¹,

Li²,

Lv³

et al. 2020

Preprint

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Background There is still a lack of relevant studies on surgical site infection (SSI) after emergency abdominal surgery (EAS) in China. This study aims to understand the status of SSI after EAS in China and discuss its risk factors. Materials and Methods All adult patients who underwent EAS in 47 hospitals in China from May 1 to 31, 2018, and from May 1 to June 7, 2019, were enrolled in this study. The basic information, perioperative data, and microbial culture results of infected incision were prospectively collected.The primary outcome measure was the incidence of SSI after EAS, and the secondary outcome variables were postoperative length of stay, ICU admission rate, ICU length of stay, 30-day postoperative mortality, and treatment costs. Univariate and multivariate logistic regression were used to analyze the risk factors.Results A total of 953 patients (age 48.8 ± 17.9 years, male 51.9%) with EAS were included in this study: 71 patients (7.5%) developed SSI after surgery.The main pathogen of SSI was Escherichia coli (culture positive rate 29.6%). Patients with SSI had significantly longer overall hospital (p < 0.001) and ICU stays (p < 0.001), significantly higher ICU admissions (p < 0.001), and medical costs (p < 0.001) than patients without SSI.Multivariate logistic regression analysis showed that male (P = 0.010), high blood glucose level (P < 0.001), colorectal surgery (P < 0.001), intestinal obstruction (P = 0.045) and surgical duration (P = 0.007) were risk factors for SSI, whereas laparoscopic surgery (P < 0.001 = 0.022) was a protective factor. Conclusion This study found a high incidence of SSI after EAS in China. The occurrence of SSI prolongs the patient's hospital stay and increases the medical burden. The study also revealed predictors of SSI after EAS and provides a basis for the development of norms for the prevention of surgical site infection after emergency abdominal surgery.

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Section: Discussioncontrasting

confidence: 53%

Surgical Site Infection After Emergency Abdominal Surgery in China: A Multicenter Prospective Study

Li¹,

Li²,

Lv³

et al. 2020

Preprint

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“…From this review, we found that the guidelines from Bangladesh, 32,116,127 Indonesia, 36,118,119 and South Korea 35,121,122 were not culturally grounded in regard to IPC guidelines and policy in acute care facilities. In fact, the contents in the guidelines were very similar to those in the WHO, CDC, Canada, Australia, and United Kingdom, except that they lacked the references to the use of patient empowerment and engagement in hand hygiene.…”

Section: Discussionmentioning

confidence: 94%

“…Considering the in-depth involvement of family carers in the care, the definition of carer from the western countries could not embrace the role of carers in the target countries. Despite the care activities family members and privately hired carers perform, their roles or responsibility could not be located in any guidelines from Bangladesh, 32,116,127 Indonesia, 36,118,119 and South Korea. 35,121,122 IPC strategies for family carers not considered…”

Section: Definition Of Carermentioning

confidence: 99%

“…1,29,32 The literature suggests that IPC guidelines utilised in many Asian countries have been based on those established in the United States, United Kingdom, Canada, or Australia, as well as by global organizations such as WHO and the Centers for Disease Control and Prevention (CDC). [33][34][35][36][37] Considering the magnitude of cultural influence over health care delivery and the important role of family carers for Asian countries, 3,6,24,38 this study aimed to examine whether the role of patients' families has been accounted for in the IPC guidelines and policies used in Asian countries. This study focused on 3 Asian countries, namely Bangladesh, Indonesia, and South Korea.…”

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confidence: 99%

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Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea

Park

Pardosi

Seale

2020

American Journal of Infection Control

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“…SSI is the most common hospital-acquired infection (HAI) in low-income and middle-income countries (LMICs) and the second or third most frequent HAI in high-income countries (HICs) [ 5 , 6 ]. In LMICs, the occurrence of SSI ranges from 6.1–7.8%, and for HICs, this occurrence ranges from approximately 1–3% [ 7 ]. Orthopaedic surgeries, such as hip and knee prosthesis, are among the highest cumulative incidences of SSI [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Modifications of Hydroxyapatite by Gallium and Silver Ions—Physicochemical Characterization, Cytotoxicity and Antibacterial Evaluation

Pajor

Pajchel

Zgadzaj

et al. 2020

IJMS

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Hydroxyapatite (HA) powders enriched with silver or gallium ions or both were synthesized by two different routes: standard precipitation and the solid-state method. The powders were characterized by using several methods: inductively coupled plasma optical emission spectrometry (ICP-OES), powder X-ray diffractometry (PXRD), transmission electron microscopy (TEM), infrared spectroscopy (FT-IR) and solid-state nuclear magnetic resonance spectroscopy (ssNMR). The effects of enrichment of the HAs in Ag+ or Ga3+ or both on in vitro cytotoxicity and microbiological activity were discussed. PXRD experiments showed that the samples obtained by the wet method consisted of single-phase nanocrystalline HA, while the samples prepared via the solid-state method are microcrystalline with a small amount of calcium oxide. The introduction of higher amounts of silver ions was found to be more effective than enriching HA with small amounts of Ag+. Gallium and silver ions were found not to affect the lattice parameters. Ga3+ affected the crystallinity of the samples as well as the content of structural hydroxyl groups. Among samples synthesized by the wet method, only one (5Ag-HAw) was cytotoxic, whereas all Ga-containing samples obtained by the dry method showed cytotoxicity. In the preliminary antimicrobial test all the materials containing “foreign” ions showed high antibacterial activity.

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APSIC guidelines for the prevention of surgical site infections

Cited by 90 publications

References 49 publications

Surgical Site Infection After Emergency Abdominal Surgery in China: A Multicenter Prospective Study

Surgical Site Infection After Emergency Abdominal Surgery in China: A Multicenter Prospective Study

Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea

Modifications of Hydroxyapatite by Gallium and Silver Ions—Physicochemical Characterization, Cytotoxicity and Antibacterial Evaluation

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