Mapping of procedures for set-up of instruments in the sterile field for surgery

Igesund, Unni; Overvåg, Grete; Rasmussen, Guri; Rekvig, Ole Petter

doi:10.4220/sykepleienf.2019.78413en

Cited by 1 publication

(1 citation statement)

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“…-full text not available (9): Littell 1951, Sebben 1988, Sheth 2003, Dieryck 1998, Stephanie 2010, Akridge 2004, Osborne 1999, Passey 2002, Wilkie 1986 -Outcome not described or not of interest: (24) Ahmadi, 2019; Egan 2021, Baskett 2004, Bhumisorikul 2004, Costa 2018, Fogliatto 2018, Glaser 2015, Halbert 1988, Huang 2021, Kimse 2021, Kusuda 2016, Strulak 2021Strzelecki, 1989, Torres 2021, Bradley 2019, Alfred 2021, Dana Barlow 2015, Holdsworth 2021, Igesund 2019, Navi 2012, Parker 2006, Wells 2017, Wells 2018, Eggleston 1997 -No focus on surgical sets: (24) Agarwal 2019, Arslan 2018, Dilworth 1992, Edilich 1992, Fadaak 2021, Haya 2018, Johnson 2016, Kaygusuz 2003, Khurana 2018, Kong 1994Kwaan 2016;Lin 2018, Martinez 2020…”

Section: Resultsmentioning

confidence: 99%

Optimisation of perioperative procedural factors to reduce the risk of surgical site infection in patients undergoing surgery: a systematic review

Calò

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Corsaro³

et al. 2023

Discov Health Systems

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Surgical site infections (SSI) are the leading cause of hospital readmission after surgical procedures with significant impact on post-operative morbidity and mortality. Modifiable risk factors for SSI include procedural aspects, which include the possibility of instrument contamination, the duration of the operation, the number of people present and the traffic in the room and the ventilation system of the operating theatre.The aim of this systematic review was to provide literature evidence on the relationship between features of surgical procedure sets and the frequency of SSI in patients undergoing surgical treatment, and to analyse how time frames of perioperative processes and operating theatre traffic vary in relation to the features of the procedure sets use, in order tooptimise infection control in OT. The results of the systematic review brought to light observational studies that can be divided into two categories: evidence of purely clinical significance and evidence of mainly organisational, managerial and financial significance. These two systems are largely interconnected, and reciprocally influence each other. The decision to use disposable devices and instruments has been accompanied by a lower incidence in surgical site infections and surgical revisions for remediation. A concomitant reduction in post-operative functional recovery time has also been observed. Also, the rationalisation of traditional surgical sets has also been observed in conjunction with outcomes of clinical significance.

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