Repository logo
 

Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines.

Published version
Peer-reviewed

Change log

Authors

De Simone, Belinda 
Sartelli, Massimo 
Coccolini, Federico 
Ball, Chad G 
Brambillasca, Pietro 

Abstract

BACKGROUND: Surgical site infections (SSI) represent a considerable burden for healthcare systems. They are largely preventable and multiple interventions have been proposed over past years in an attempt to prevent SSI. We aim to provide a position paper on Operative Room (OR) prevention of SSI in patients presenting with intra-abdominal infection to be considered a future addendum to the well-known World Society of Emergency Surgery (WSES) Guidelines on the management of intra-abdominal infections. METHODS: The literature was searched for focused publications on SSI until March 2019. Critical analysis and grading of the literature has been performed by a working group of experts; the literature review and the statements were evaluated by a Steering Committee of the WSES. RESULTS: Wound protectors and antibacterial sutures seem to have effective roles to prevent SSI in intra-abdominal infections. The application of negative-pressure wound therapy in preventing SSI can be useful in reducing postoperative wound complications. It is important to pursue normothermia with the available resources in the intraoperative period to decrease SSI rate. The optimal knowledge of the pharmacokinetic/pharmacodynamic characteristics of antibiotics helps to decide when additional intraoperative antibiotic doses should be administered in patients with intra-abdominal infections undergoing emergency surgery to prevent SSI. CONCLUSIONS: The current position paper offers an extensive overview of the available evidence regarding surgical site infection control and prevention in patients having intra-abdominal infections.

Description

Keywords

Emergency, Intra-abdominal infection, Operating room, Prevention, Surgical site infection, Humans, Intraabdominal Infections, Intraoperative Care, Operating Rooms, Practice Guidelines as Topic, Surgical Wound Infection

Journal Title

World J Emerg Surg

Conference Name

Journal ISSN

1749-7922
1749-7922

Volume Title

15

Publisher

Springer Science and Business Media LLC