Spine surgical site infection outcome with preoperative application of a presaturated 10% povidone-iodine nasal decolonization product in a 32-bed surgical hospital.
To pursue an irreducible minimum overall surgical site infection (SSI) rate, a 32-bed surgical hospital employed an outside consultant and performed sterile processing and surgery internal audits: No obvious improvements were identified. A 10-year review determined that 70% of SSI's were spine proce...
| Publicado en: | American Journal of Infection Control Vol. 53; no. 1; pp. 132 - 139 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181938970&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181938970 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: Jan2025 vid: 53 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 181938970 181938970 181938970 10.1016/j.ajic.2024.09.016 181938970 ppf: 132 ppct: 7 formats: tig: atl: Spine surgical site infection outcome with preoperative application of a presaturated 10% povidone-iodine nasal decolonization product in a 32-bed surgical hospital. aug: au: Grant, Patti S. Crews-Stowe, Caitlin affil: Infection Prevention/ISO Internal Audit Lead, Methodist Hospital for Surgery, Addison, TX sug: subj: Spine Surgery Surgical Wound Infection Prevention and Control Preoperative Care Antiinfective Agents, Local Administration and Dosage Povidone-Iodine Administration and Dosage Hospitals Human Implementation Science Disease Surveillance Chi Square Test Descriptive Statistics ab: To pursue an irreducible minimum overall surgical site infection (SSI) rate, a 32-bed surgical hospital employed an outside consultant and performed sterile processing and surgery internal audits: No obvious improvements were identified. A 10-year review determined that 70% of SSI's were spine procedure patients. After a nasal decolonization product literature review, an intervention was implemented. The purpose of this study was to assess if the intervention impacted spine SSI rates. A 36-month implementation science study was conducted. The 18-month intervention was the immediate preoperative application of a manufactured presaturated 10% povidone-iodine nasal decolonization product in spine surgery patients, with monthly product application documentation surveillance feedback to the preoperative staff. Chi-square test was used to determine the difference in types of spine SSI surgery rates pre and post intervention. Overall spine SSI decreased 35.7% (P =.04) with a 58.7% reduction in superficial incisional SSI (P =.02). The 16.1% decline in deep incisional SSI was not significant (P =.29). Within this hospital, conducting 7,576 surgical spine procedures over 36 months, with the immediate preoperative application of a presaturated 10% povidone-iodine nasal decolonization product, the only intervention in SSI prevention protocol, produced a statistically significant decrease in spine patient SSI rate percent. • Spine surgery surgical site infection with 10% povidone-iodine nasal decolonization. • Implementation science in spine surgery and surgical site infection rate impact. • Interventional epidemiology changes one thing with spine surgery infection outcome. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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