Developing an argument for bundled interventions to reduce surgical site infection in colorectal surgery

Minimizing Cost Flow for Colorectal Surgery in Michigan

“…One possibility for this cost difference may be SSI, as the 6 care measures have previously been shown to be associated with SSI, [6][7] and SSI increases costs following colectomy. [1][2][3] However, further work is necessary to investigate the pathway between these perioperative care elements and the ultimate cost per patient.…”

“…6,7 The presence of these criteria individually was associated with reduced rates of SSI following colectomy. [6][7] Given the association between SSI and cost, we hypothesized that when measured together, these perioperative care elements would be predictive of cost per patient.…”

“…6,7 The presence of these criteria individually was associated with reduced rates of SSI following colectomy. [6][7] Given the association between SSI and cost, we hypothesized that when measured together, these perioperative care elements would be predictive of cost per patient. We conducted a retrospective study using data from the Michigan Surgical Quality Collaborative (MSQC) to understand the cost per patient whose care was considered low compliance in these elements (0-2 elements) versus those with highcompliance care (3-6 elements).…”

Role of infection control in combating antibiotic resistance

“…The incidence of SSI after colorectal surgery was 2% in patients who received all six components of a bundle, and 17% in those who received only one component. [35] A multicentre before-andafter study in Korea showed a reduction in VAP rates from 4.08/1 000 ventilator-days to 1.16/1 000 ventilator-days after implementation of a VAP bundle. [36] Reductions in VAP rates after implementing bundles have been associated with reduced ventilation-days and length of stay in the intensive care unit (ICU).…”

Improving Surgical Site Infection Rates Through Continuous Quality Improvement

“…8,9 One investigation of more than 3000 patients demonstrated an inverse correlation between the number of bundled elements utilized and the rate of SSI, suggesting that each element has an additive impact on risk reduction. 10 The bundle implemented by Taylor et al was thorough and included important elements such as patient education, follow-up phone calls, and evidence-based perioperative interventions. Additional interventions with a high level of scientific evidence supporting their use that are endorsed as core SSI prevention strategies by the CDC include: treating remote infections if possible before surgery, surgical site hair removal only when necessary without the use of razors, appropriate antiseptic skin preparation, normothermia, limiting operating room traffic, and postoperative control of blood glucose to \200 mg/dL.…”