Adherence to international and national recommendations for the prevention of surgical site infections in Italy: Results from an observational prospective study in elective surgery

作者：Durando Paolo^*; Bassetti Matteo; Orengo Giovanni; Crimi Paolo; Battistini Angela; Bellina Dorotea; Talamini Antonella; Tiberio Gabriella; Alicino Cristiano; Iudici Rocco; Sticchi Camilla; Ansaldi Filippo; Rossi Anna; Rosso Rita; Viscoli Claudio; Icardi Giancarlo

来源：American Journal of Infection Control, 2012, 40(10): 969-972.

DOI：10.1016/j.ajic.2011.11.016

• Health care-associated infections
• Infection control
• Guidelines
• Compliance

Background: An observational prospective study of the perioperative procedures for prevention of surgical site infections (SSIs) was carried out in a tertiary referral teaching hospital in Liguria, Italy, to evaluate their adherence to international and national standards. %26lt;br%26gt;Methods: A 1-month survey was performed in all surgical departments, monitored by turns by trained survey teams. Data regarding presurgical patient preparation and intraoperative infection control practices were collected. %26lt;br%26gt;Results: A total of 717 elective interventions were actively monitored in 703 patients who underwent surgery. Hair-shaving was performed mainly using a razor (92%) by the nurses (72.8%) on the day before the operation (83.5%). All of the patients showered, either with a common detergent (87%) or with an antiseptic solution (13%). Antimicrobial prophylaxis was administered properly in 75.7% of the patients at induction of anaesthesia; however, according to current Italian guidelines, inappropriate prophylaxis was provided in 55.2% patients. Appropriate antisepsis of the incision area was done in 97.4% of the operations, and nearly 90% of the interventions lasted less than the respective 75th percentile. The doors of the operating theatres were mostly open during the duration of the operation in 36.3% of the cases. %26lt;br%26gt;Conclusions: This review of infection control policies identified significant opportunities for improving the safety and the quality of routine surgical practice.

• 出版日期2012-12