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There is insufficient evidence to show that whether applying cyanoacrylate microbial sealants on the wound site before operation is effective in reducing surgical site infection post surgery. [27] There is no evidence that one type of hand antisepsis is better than the other in preventing surgical site infection. [28] [17]
Methods to decrease surgical site infections in spine surgery include the application of antiseptic skin preparation (a.g. Chlorhexidine gluconate in alcohol which is twice as effective as any other antiseptic for reducing the risk of infection [9]), judicious use of surgical drains, prophylactic antibiotics, and vancomycin. [10]
Surgical Infections is a peer-reviewed medical journal published by Mary Ann Liebert, Inc. It is the official journal of the Surgical Infection Society, [ 1 ] the Surgical Infection Society Europe, [ 2 ] the Surgical Infection Society Latin America, and the Chinese Society of Surgical Infection and Intensive Care.
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
In 2012, the Health Protection Agency reported the prevalence rate of hospital-acquired infections in England was 6.4% in 2011, against a rate of 8.2% in 2006, [67] with respiratory tract, urinary tract and surgical site infections the most common types of infections reported. [67]
Despite efforts to preserve asepsis during surgery, there still persists a 1-3% chance of a surgical site infection (SSI). [19] Infections are categorized as superficial incisional, deep incisional, or organ; the first type are confined to the skin, the second to muscles and nearby tissues, and the third to organs not anatomically close to the ...
[33] [34] Additionally, laparoscopic surgery is associated with a lower rate of surgical site infection. [35] During the days prior to laparoscopic surgery, studies showed that outcomes were better following early removal of the gallbladder, preferably within the first week. [36]
Antibiotics can be effective in reducing the occurrence of such infections. Patients should be selected for prophylaxis if the medical condition or the surgical procedure is associated with a considerable risk of infection or if a postoperative infection would pose a serious hazard to the patient's recovery and well-being. [4]