Examining SSI Prevention Measures According to the Evidence

Until further research can definitively pinpoint pathogenesis, it is imperative that clinicians engage in evidence-based preventative measures. Uckay, et al. (2010) assert that four preventative measures are considered as having a high level of evidence according to the CDC guidelines for prevention of surgical site infections. They are surgical hand preparation: its importance is supported by expert opinion, experimental studies and success stories of SSI reduction. It is imperative that you follow AORN and CDC guidelines for hand washing and the surgical scrub before surgery. Antibiotic prophylaxis: This has had impact the incidence of the SSI but must be done correctly for it to have an impact. This includes the timing and choice of antibiotic, which play a huge factor. Postponing elective surgery in the case of symptomatic remote infection. This issue is regarded as high evidence in the CDC guidelines, although there are no randomized trials on the topic. Some interventions hold great promise and need to be investigated more thoroughly. One of the interventions on the forefront and implemented in many medical facilities already is MRSA screening and decolonization prior to admission.

Source: Infection Control Today