Intraoperative surgical site infection control and prevention : a position paper and future addendum to WSES intra-abdominal infections guidelines

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De Simone , B , Sartelli , M , Coccolini , F , Ball , C G , Brambillasca , P , Chiarugi , M , Campanile , F C , Nita , G , Corbella , D , Leppäniemi , A , Boschini , E , Moore , E E , Biffl , W , Peitzmann , A , Kluger , Y , Sugrue , M , Fraga , G , Di Saverio , S , Weber , D , Sakakushev , B , Chiara , O , Abu-Zidan , F M , ten Broek , R , Kirkpatrick , A W , Wani , I , Coimbra , R , Baiocchi , G L , Kelly , M D , Ansaloni , L & Catena , F 2020 , ' Intraoperative surgical site infection control and prevention : a position paper and future addendum to WSES intra-abdominal infections guidelines ' , World journal of emergency surgery , vol. 15 , no. 1 , 10 . https://doi.org/10.1186/s13017-020-0288-4

Title: Intraoperative surgical site infection control and prevention : a position paper and future addendum to WSES intra-abdominal infections guidelines
Author: De Simone, Belinda; Sartelli, Massimo; Coccolini, Federico; Ball, Chad G.; Brambillasca, Pietro; Chiarugi, Massimo; Campanile, Fabio Cesare; Nita, Gabriela; Corbella, Davide; Leppäniemi, Ari; Boschini, Elena; Moore, Ernest E.; Biffl, Walter; Peitzmann, Andrew; Kluger, Yoram; Sugrue, Michael; Fraga, Gustavo; Di Saverio, Salomone; Weber, Dieter; Sakakushev, Boris; Chiara, Osvaldo; Abu-Zidan, Fikri M.; ten Broek, Richard; Kirkpatrick, Andrew W.; Wani, Imtiaz; Coimbra, Raul; Baiocchi, Gian Luca; Kelly, Micheal D.; Ansaloni, Luca; Catena, Fausto
Contributor organization: HUS Abdominal Center
II kirurgian klinikka
Clinicum
Date: 2020-02-10
Language: eng
Number of pages: 23
Belongs to series: World journal of emergency surgery
ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-020-0288-4
URI: http://hdl.handle.net/10138/313778
Abstract: Background Surgical site infections (SSI) represent a considerable burden for healthcare systems. They are largely preventable and multiple interventions have been proposed over past years in an attempt to prevent SSI. We aim to provide a position paper on Operative Room (OR) prevention of SSI in patients presenting with intra-abdominal infection to be considered a future addendum to the well-known World Society of Emergency Surgery (WSES) Guidelines on the management of intra-abdominal infections. Methods The literature was searched for focused publications on SSI until March 2019. Critical analysis and grading of the literature has been performed by a working group of experts; the literature review and the statements were evaluated by a Steering Committee of the WSES. Results Wound protectors and antibacterial sutures seem to have effective roles to prevent SSI in intra-abdominal infections. The application of negative-pressure wound therapy in preventing SSI can be useful in reducing postoperative wound complications. It is important to pursue normothermia with the available resources in the intraoperative period to decrease SSI rate. The optimal knowledge of the pharmacokinetic/pharmacodynamic characteristics of antibiotics helps to decide when additional intraoperative antibiotic doses should be administered in patients with intra-abdominal infections undergoing emergency surgery to prevent SSI. Conclusions The current position paper offers an extensive overview of the available evidence regarding surgical site infection control and prevention in patients having intra-abdominal infections.
Description: Correction: Volume: 16 Issue: 1, Article Number: 18 DOI: 10.1186/s13017-021-00361-4
Subject: Emergency
Surgical site infection
Prevention
Intra-abdominal infection
Operating room
RANDOMIZED CONTROLLED-TRIAL
TRICLOSAN-COATED SUTURES
PRESSURE WOUND THERAPY
ABDOMINAL-WALL CLOSURE
SUPPLEMENTAL PERIOPERATIVE OXYGEN
SUBCUTANEOUS SUCTION DRAINS
VACUUM-ASSISTED CLOSURE
EDGE PROTECTION DEVICES
DELAYED PRIMARY CLOSURE
SKIN CLOSURE
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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