How can we prevent surgical site infection?
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- เผยแพร่เมื่อ 2 มิ.ย. 2024
- How do we PREVENT surgical site infection or SSI?
We can approach this with many different strategies and the framework to think about is strategies that effect the preoperative, perioperative and post operative phases of care.
The best place to start is to watch this video for an overview and then check out the WHO Guidelines article to get a full understanding of SSI prevention strategies.
WHO Guidelines for SSI citizensurgeon.co/3JUu64B
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Start 00:00
Preoperative Strategies for SSI 02:54
Perioperative Strategies for SSI 08:22
Postoperative Strategies for SSI 14:24
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MUST HAVE SURGERY BOOKS
Sabiston's Textbook of Surgery citizensurgeon.co/Sabiston
Moore's Clinically Oriented Anatomy citizensurgeon.co/Moore
Netter's Anatomical Atlas citizensurgeon.co/Netter
Schwartz Principles of Surgery citizensurgeon.co/Schwartz
Fischer's Mastery of Surgery citizensurgeon.co/Mastery
Zollinger's Atlas of Surgical Operations citizensurgeon.co/Zollinger
Top Knife (MUST MUST HAVE) citizensurgeon.co/topknife
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I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!
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While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!
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LOVE THIS! I am gonna be an intern this fall in general surgery and i love your videos. they are great foundational knowledge for gen surg and i have been taking notes and watching them! Please keep all the content coming :)
Totally awesome thanks Greg! Share with your friends!! Good luck as you start general surgery, it’s a great profession, let me know if there is a topic you would like covered!
I find your information about the judicious use of antibiotics interesting. We hear a lot these days about infections that resistant to antibiotics that we have depended on to be life savers for many years. I find that a tad scary!
Absolutely, antibiotic stewardship is so incredibly important!!
Just a question how obesity can be reduced preoperatively? I mean shall weight reduction be considered if a surgery is in a later long period ? Cause the other risk factors can be managed in a 2 to 3 weeks ,which is suitable for must surgeries
can you do a video on MDRO
I think that would be a very valuable video, will do
Goodness siri- corrections-sterile package abraised hairsparing
Guidelines for hair removal dont seem to be used - it is dr preference but if guidelines and research like cochrane review shows decrease infection by not removing hair then why do we still do it even though they clip hair now instead of shave no one seems to clip it in the correct way and still causes between five and 35% of abrasions skin injuries, micro injuries cuts nicks and erythema then they pat the hair off say the back of the neck for spine surgery and the tape if it is not a steal package has been shown to Carrie anywhere from 5 to 10 different types of bacteria so now you have a braised area you’ve disturbed the follicle you’ve possibly cut or caused and now you use tape on the back of the neck that has bacteria on it stop removing unless it’s just at the surgical site maybe a quarter inch of hair they do hairspray craniotomies they should not be removing hair on the rest of the body
Thanks for adding all of the info, I almost never clip unless it’s going g to be difficult to sew the wound without getting hair in it, if I do I clip it and try to be careful not to cause skin injury, usually this is for pilonidal disease. But you’re exactly right, less is better.
How do we get surgeons to change? I Am particularly interested in cervical spine surgery where they many times clip from to ear to ear and to the occiput it is not only adding a much larger area for infection, but also for patients and recovery the psychological part and the mental anguish of looking freakish for quite a long time is ridiculous, especially since it is not evidence based I would also venture to say, which is a little concerning for nurses and surgical assistants that if we are performing a procedure on a patient that is not a guideline even though the Dr. May direct you to do so it could go against your license because you’re not following the guidelines of the CDC NIH JCAOH WHO and even your own facility- how do we make this change?
And I wonder if you know that according to JCAOH and the CDC, etc if you do any procedure on a patient, you must be trained, and then there must be competency and depending on what piece of equipment you use it states that that equipment must be in serviced by the vendor, and everyone needs to be taught by vendor in a training and then there must be compliance I doubt very seriouslyif this is happening, I’m pretty sure it’s appeared appear here. This is what I do which means not using the clippers correctly.