Does a Presurgical Antisepsis Protocol Decrease Surgical Site Infections in Young Children?

Author:

Lapp Valerie,Ben Khallouq Bertha,Bentley Dana,Kirkland Allie,Dykstra‐Nykanen Jill,Ayotte Keith

Abstract

ABSTRACTNational standards for surgical site infection (SSI) prevention for children remain elusive. Our institution developed a presurgical antisepsis protocol that included the three components of chlorhexidine gluconate bathing wipes, chlorhexidine gluconate oral rinse, and povidone‐iodine nasal swab. This retrospective cohort study examined data from electronic health records to compare SSI rates before and after protocol implementation. We included children aged 2 through 11 years undergoing any surgical procedure with the use of an incision in the OR (N = 1,356). We did not find any difference in the occurrence of SSI before and after the protocol was implemented. Logistic regression showed that an infection present at the time of surgery was the only significant predictor of an SSI. The implementation of a presurgical antisepsis protocol was not associated with SSI rate reduction in this pediatric cohort.

Publisher

Wiley

Subject

Medical–Surgical Nursing

Reference37 articles.

1. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update

2. Pediatric surgical site infection (SSI) following ambulatory surgery: Incidence, risk factors and patient outcomes

3. Surgical Site Infection Event (SSI).National Healthcare Safety Network. January 2023. Accessed September 5 2023.https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf

4. Surgical site infections.Agency for Healthcare Research and Quality. September 7 2019. Accessed October 4 2023.https://psnet.ahrq.gov/primer/surgical‐site‐infections

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