Multidisciplinary prevention bundle substantially lowered infection rates.
At one academic teaching hospital, posthysterectomy surgical site infection rates were 5.4% — more than double the expected level. Accordingly, a multidisciplinary team developed and implemented an infection prevention bundle that included chlorhexidine wipes for patient use before surgery, preoperative and intraoperative warming, aseptic skin preparation before surgery; sterile dressings, standardized antibiotic dosing prior to surgery (with redosing for prolonged procedures), and structured feedback to surgical team members in the event of procedural deviations. The bundle was implemented stepwise during a period of 1.5 years, and outcomes were ascertained for 1 additional year after full implementation.
Surgical site infection rates fell …
Reviewing Author
DisclosuresConsultant/Advisory BoardAicuris; Bayer; GSK; Innovative Molecules; Merck; MAPP Biopharmaceutical (Safety Monitoring Committee)
RoyaltiesUpToDate
Grant/Research SupportNIH/National Institute of Allergy and Infectious Diseases; GSK; Moderna; Assembly Biomedical; Aicuris
Editorial BoardsSexually Transmitted Diseases; Sexually Transmitted Infections; Journal of Infectious Diseases
Leadership PositionsID Division Chiefs Community of Practice (At-Large Member)
DisclosuresConsultant/Advisory BoardAicuris; Bayer; GSK; Innovative Molecules; Merck; MAPP Biopharmaceutical (Safety Monitoring Committee)
RoyaltiesUpToDate
Grant/Research SupportNIH/National Institute of Allergy and Infectious Diseases; GSK; Moderna; Assembly Biomedical; Aicuris
Editorial BoardsSexually Transmitted Diseases; Sexually Transmitted Infections; Journal of Infectious Diseases
Leadership PositionsID Division Chiefs Community of Practice (At-Large Member)