Effective methods to decrease surgical site infections in pediatric gastrointestinal surgery

Nordin, Andrew B.; Sales, Stephen; Besner, Gail E.; Levitt, Marc A.; Wood, Richard J.; Kenney, Brian D.

doi:10.1016/j.jpedsurg.2017.10.018

Cited by 16 publications

(18 citation statements)

References 26 publications

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“…The baseline SSI for all stoma takedown patients at the initiation of the project had been 21.4% (25 of 119). After bundle implementation, this decreased to 7.9% (17 of 221; p = 0.03) resulting in a 63% decrease in SSI [1]. Then after changing the preoperative antibiotics in April 2017 from cefoxitin to ampicillin-sulbactam, our rate of SSI decreased further to 2.2% (1 of 44; p = 0.039), resulting in a further decrease in SSI by 72%.…”

Section: Resultsmentioning

confidence: 92%

“…These data were reviewed with the infectious disease department at our institution and based on the resistance and sensitivity data, preoperative antibiotics were changed from cefoxitin to ampicillin-sulbactam in April 2017. We thus augmented the bundle [1] by only one variable, and reanalyzed our SSI rates as shown in Fig. 1.…”

Section: Change In Antibioticsmentioning

confidence: 99%

“…Despite perioperative antibiotics and chemical and mechanical bowel preparation to decrease bacterial load in the GI tract, the rate of SSIs remain shigh [4]. Our institution previously reported a major change in practice that decreased the rate of SSIs significantly [1]. After identifying risk factors for SSIs, those authors implemented a GI bundle for all GI operations as seen in Figs.…”

mentioning

confidence: 99%

“…1 and 2. The bundle effectively reduced the rates of SSI from 21.4% to 7.9%, a 63% reduction [1]. We hypothesized that by targeting the preoperative antibiotics for stoma closures based on causative organisms found in the infected wounds we could further decrease SSI rates.…”

mentioning

confidence: 99%

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Decreasing surgical site infections in pediatric stoma closures

Ahmad

Nordin

Halleran

et al. 2020

Journal of Pediatric Surgery

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Section: Resultsmentioning

confidence: 92%

Section: Change In Antibioticsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Decreasing surgical site infections in pediatric stoma closures

Ahmad

Nordin

Halleran

et al. 2020

Journal of Pediatric Surgery

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“…In pediatric patients, the SSI-related morbidity may be decreased with perioperative bundle which highlights the need of studies on SSI bundle in neonatal intensive care units and surgical NEC. 41…”

Section: Surgical Site Infectionsmentioning

confidence: 99%

Perioperative Complications Following Surgery for Necrotizing Enterocolitis

2018

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Necrotizing enterocolitis (NEC) is a devastating condition that mainly affects premature infants. Advanced cases of NEC require surgical treatment, which in up to 70% of infants is associated with significant perioperative morbidity including anastomosis- or enterostomy-related complications, sepsis, peritonitis, and wound infections. Moreover, the perioperative complications may compromise the long-term gastrointestinal and neurodevelopmental outcome of patients requiring surgery for NEC.

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Does a Presurgical Antisepsis Protocol Decrease Surgical Site Infections in Young Children?

Lapp,

Ben Khallouq,

Bentley

et al. 2023

AORN Journal

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National standards for surgical site infection (SSI) prevention for children remain elusive. Our institution developed a presurgical antisepsis protocol that included the three components of chlorhexidine gluconate bathing wipes, chlorhexidine gluconate oral rinse, and povidone‐iodine nasal swab. This retrospective cohort study examined data from electronic health records to compare SSI rates before and after protocol implementation. We included children aged 2 through 11 years undergoing any surgical procedure with the use of an incision in the OR (N = 1,356). We did not find any difference in the occurrence of SSI before and after the protocol was implemented. Logistic regression showed that an infection present at the time of surgery was the only significant predictor of an SSI. The implementation of a presurgical antisepsis protocol was not associated with SSI rate reduction in this pediatric cohort.

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Effective methods to decrease surgical site infections in pediatric gastrointestinal surgery

Cited by 16 publications

References 26 publications

Decreasing surgical site infections in pediatric stoma closures

Decreasing surgical site infections in pediatric stoma closures

Perioperative Complications Following Surgery for Necrotizing Enterocolitis

Does a Presurgical Antisepsis Protocol Decrease Surgical Site Infections in Young Children?

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