Prevention of surgical site infection (SSI)

KRINKO Recommendation: Prevention of Surgical Site Infection (SSI)

Accounting for approx. 24 %, SSIs are the most frequent nosocomial infections in German acute-care hospitals, while the risk of infection depends on the type of operation. Bacteria, rarely in combination with fungi, are the most common pathogens of an SSI, and the spectrum of pathogens varies depending on the surgical site and type of operation, respectively. Based on the OP-KISS (German surgical site infection surveillance) data from 2010 to 2014, the Robert Koch-Institute reports the following bacteria shares for selected surgical procedures 1:

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Best practice, Barrier precautions

Disposable gowns: fewer surgical site infections during high-risk procedures

Choosing the optimal surgical gown for each type of surgical procedure is complex. Many aspects including hygienic requirements, wearing comfort, and cost-effectiveness have to be considered, so as to optimise infection control. Recent studies show that disposable surgical gowns could offer better protection during high-risk surgeries.

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Best practice

Avoiding infections with hip and knee prostheses: The success of the operation also depends on patients’ cooperation

Prof. Dr. Ojan Assadian, President of the Austrian Society for Hospital Hygiene (ÖGKH) and Medical Director at the State Hospital Neunkirchen, was co-author of an expert opinion paper of the "Initiative Sicherheit im OP" (SIOP) on infection prevention in hip and knee endoprosthetics. In an interview, he provides insights into the most important points of the paper.

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Prevention of surgical site infection (SSI)

Preventive measures can minimise orthopaedic Surgical Site Infections after joint replacement surgeries

Joint replacement surgeries are of significant therapeutic benefit for many patients, relieving pain and improving mobility. However, the advantages of such surgeries can be greatly hampered by orthopaedic surgical site infections (SSIs), which are associated with high patient morbidity. Reduction of the SSI-associated risk factors and strict adherence to infection control protocols before, during and after surgery are crucial to minimise infections and ensure a positive outcome.

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Prevention of surgical site infection (SSI)

Promoting wound healing after surgery by choosing the right dressing

Wound cleansing and the application of adequate phase-oriented wound dressings are an important line of defence against surgical site infections (SSI), a serious complication which affects millions of patients every year. Dressings not only act as a physical barrier to avoid wound contamination but can actively support the healing process.

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