Implementation of the recommendations for prevention of surgical site infection in Spain: A survey to evaluate the gap between evidence-based recommendations and daily clinical practice in cardiovascular surgery
Introduction: A panel constituted by experts from various surgical scientific societies have expressed their concern on the lack of knowledge of the implementation of evidence-based recommendations as regards surgical site infection (SSI) prevention in different surgical specialties in Spain. Method...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Conselleria de Salut i Consum del Govern de les Illes Balears |
| Repositorio: | Docusalut |
| Idioma: | español |
| OAI Identifier: | oai:docusalut.com:20.500.13003/17345 |
| Acceso en línea: | https://hdl.handle.net/20.500.13003/17345 |
| Access Level: | acceso abierto |
| Palabra clave: | Surgical site infection Prevention Cardiac surgical procedures Surveys and questionnaires |
| Sumario: | Introduction: A panel constituted by experts from various surgical scientific societies have expressed their concern on the lack of knowledge of the implementation of evidence-based recommendations as regards surgical site infection (SSI) prevention in different surgical specialties in Spain. Methods: This expert panel designed an on-line questionnaire (SurveyMonkey (c)) consisting of 59 general questions for any surgical specialty, plus 5 more specific questions for Cardiac Surgery. Results: The questionnaire was completed by 82 cardiovascular surgeons from all over Spain, equally distributed into 1-10 years of experience (43%), 11-20 years (27%), and >20 years (30%). There was a high level of knowledge of specific protocols for patient surgical preparation (99%), patient safety in the operating room (87%), and contact isolation (96%). The results showed a lack of agreement between daily clinical practice and evidence-based recommendations in 4 strong recommendations of the World Health Organisation: screening/treatment of methicillin-resistant Staphylococcus aureus, hair removal, type/use of skin antiseptics, and duration of antibiotic prophylaxis. There were differences in another 4 conditional recommendations: preoperative nutritional status assessment, intraoperative glycaemic control, prophylactic use of negative pressure therapies, and antibiotic coated sutures. Conclusion: Several important improvement areas have been detected towards SSI prevention in Cardiovascular Surgery in Spain, as there are important differences between daily clinical practice and evidence-based recommendations for surgical site infection prevention. |
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