Introduction
Since the reduction of healthcare-associated infections has been a focus for
quality patient care, this study aimed to evaluate the surgical site
infection rate of children who underwent cardiovascular surgery after
implementation of ozonized water system for hand and body hygiene allied to
previously implemented preventive measures.
Methods
Two uniformly comparable groups of pediatric patients underwent
cardiovascular surgery. Group A (187) patients were operated prior to
installation of ozonized water system (March 1 to August 31, 2019), and
group B (214) patients were operated after installation of ozonized water
system (October 1, 2019, to March 31, 2020). Ozonized water was used for
professional hand hygiene and patient body hygiene.
Results
There was statistical significance for surgical site infection reduction in
group B (
P
=0.0289), with a relative risk of 0.560 (95%
confidence interval = 0.298 to 0.920), inferring the risk of being diagnosed
with surgical site infections in group B was 44% less than in group A. There
was no statistical significance regarding mechanical ventilation time
(
P
=0.1998) or mortality
(
P
=0.4457).
Conclusion
Ozonized water for professional hand hygiene and patient body hygiene was an
adjuvant combined with traditional preventive methods to reduce the risk of
surgical site infection, although no impact on hospital stay or mortality
was observed.