Research and Describe SSI Prevention Fact Sheet

SSI Prevention Fact Sheet
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SSI Prevention Fact Sheet
Purpose of the article
Surgical site infections (SSIs) are increasingly becoming one of the most burdensome health-care-associated infections particularly to low-income and middle-income countries. Having established this fact, the World Health Organization (WHO) decided to come up with evidence-based recommendations to help in the fight against SSIs. The article at hand simply outlines the recommendations for the measures that need to be implemented during the preoperative period.
Data Gathering
* Key research questions were identified and formulated but in accordance to the Population, Intervention, Comparator, Outcomes process.
* The research questions were primarily obtained from SSI and SSI-attributable mortality.
* The literature review was targeted, and PRISMA guidelines were the basis for result reporting.
* The Cochrane Collaboration tool was used to assess the risk of bias of randomized controlled trials as well as the Newcastle-Ottawa Quality Assessment Scale for cohort studies.
Development of Recommendations
The following were the major recommendations:
* Perioperative discontinuation of immunosupportive agents – the quality of the evidence presented for this recommendation was low. However, the team recommended that the immunosuppressive medication should not be discontinued. Conversely, if it is to be done, it should be done on an individual basis and should involve the surgeon, patient, and the physician.
* Enhanced nutritional support – it was established that multiple nutrient-enhanced formulas could be used to prevent SSIs particularly in adult patients who are undergoing major surgical operations. However, it is important to note that the quality of evidence was low.
* Preoperative bathing – the team recommended that a plain or antimicrobial soap be used during preoperative bathing. However, on using chlorhexidine gluconate-impregnated clothes before surgery, the evidence was lacking. This particular recommendation was of moderate quality.
* Decoloniza...