Collaborative Program Cuts Colorectal Sx Site Infections

Implementation of modified and optimized practices linked to >60 percent drop in infection

MONDAY, Dec. 3 (HealthDay News) -- Implementation of a collaborative quality improvement program correlates with a more than 60 percent reduction in surgical site infections for patients undergoing colorectal procedures, according to a report published online Nov. 28 by the Cedars-Sinai Medical Center in Los Angeles.

From March 2011 to March 2012, surgeons, nurses, operating room staff, and patients from Cedars-Sinai collaborated in a quality improvement program in an effort to reduce surgical site infections.

According to the report, the new approach included several modified or optimized processes. The evening and the morning before surgery, patients used chlorhexidine antiseptic solution in the shower. Immediately before surgery, operative sites were prepared with sterile chlorhexidine and alcohol antiseptic solution, and chlorhexidine wipes were used daily after surgery. Standardized antibiotics from a short list were used immediately before surgery, and a second dose was administered for long operations. To reduce contamination of the skin when handling intestines, use of wound protectors was encouraged. After completing the contaminated portion of the colorectal procedure, new gowns, gloves, and instruments were used by the surgical team, and operative sites were re-draped with sterile covers. In some cases of wounds considered at high risk of infection, fluids trapped in wounds were released daily. Implementation of these procedures correlated with a more than 60 percent drop in the postoperative surgical site infection rate, from 15 percent at baseline to less than 5 percent within six months, and remained below 5 percent through July 2012.

"We are very pleased with the results we were able to achieve," Cedars-Sinai's Shirin Towfigh, M.D., said in a statement. "Our work illustrates that, with institutional collaboration and low-cost changes in practice, surgeons can dramatically reduce their patients' surgical site infections."

Press Release

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Debunking Three Rape Myths
Journal of Forensic Nursing, October/December 2014
Expires: 12/31/2016 CE:2.5 $24.95


Drug updates and approvals: 2014 in review
The Nurse Practitioner, 13December 2014
Expires: 12/31/2016 CE:3 $27.95


Can Food Processing Enhance Cancer Protection?
Nutrition Today, September/October 2014
Expires: 10/31/2016 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events