Surgical Infection Reduction Program of the Observatory of Surgical Infection (PRIQ-O). Delphi prioritization and consensus document on recommendations for the prevention of surgical site infection.

Surgical site infection is the most frequent and avoidable complication of surgery, but clinical guidelines for its prevention are insufficiently followed. We present the results of a Delphi consensus carried out by a panel of experts from 17 Scientific Societies with a critical review of the scient...

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Detalles Bibliográficos
Autores: Badia, Josep M, Dolores Del Toro, M, Navarro Gracia, Juan F, Balibrea, Jose M, Herruzo, Rafael, Gonzalez Sanchez, Carmen, Lozano Garcia, Javier, Rubio Perez, Ines, Guirao, Xavier, Soria-Aledo, Victor, Orti-Lucas, Rafael
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p17006
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/17006
Access Level:acceso abierto
Descripción
Sumario:Surgical site infection is the most frequent and avoidable complication of surgery, but clinical guidelines for its prevention are insufficiently followed. We present the results of a Delphi consensus carried out by a panel of experts from 17 Scientific Societies with a critical review of the scientific evidence and international guidelines, to select the measures with the highest degree of evidence and facilitate their implementation. Forty measures were reviewed and 53 recommendations were issued. Ten main measures were prioritized for inclusion in prevention bundles: preoperative shower; correct surgical hand hygiene; no hair removal from the surgical field or removal with electric razors; adequate systemic antibiotic prophylaxis; use of minimally invasive approaches; skin decontamination with alcoholic solutions; maintenance of normothermia; plastic wound protectors-retractors; intraoperative glove change; and change of surgical and auxiliary material before wound closure. Copyright © 2022. Published by Elsevier Espana, S.L.U.