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A Simple Infection Prevention 'Bundle' Including Preoperative Bath With Hair-Wash to Reduce Surgical Site Infection (SSI) Following Elective Caesarean and Gynaecological Surgery in India.
Bagga, Rashmi; Suri, Vanita; Thami, Minakshi; Nehra, Ritu; Dhaliwal, Navneet; Biswal, Manisha; Singhal, Sangeeta; Soni, Anita; Joshi, Liza.
Afiliação
  • Bagga R; Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Suri V; Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Thami M; Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Nehra R; Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Dhaliwal N; Department of Hospital Administration, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Biswal M; Department of Medical Microbiology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Singhal S; Department of Obstetrics and Gynaecology, Civil Hospital, Panchkula, Haryana, India.
  • Soni A; Department of Obstetrics and Gynaecology, Civil Hospital, Panchkula, Haryana, India.
  • Joshi L; Department of Pathology, Civil Hospital, Panchkula, Haryana, India.
J Family Med Prim Care ; 11(5): 1970-1979, 2022 May.
Article em En | MEDLINE | ID: mdl-35800527
ABSTRACT

Background:

Surgical site infections (SSIs) may be reduced by following SSI prevention measures. We assessed the SSI rate following caesarean section (CS) and gynaecologic surgery after implementing a simple SSI prevention bundle including preoperative bath and hair wash.

Methods:

The study was carried out in two hospitals in North India (Post Graduate Institute of Medical Education and Research [PGIMER] and Civil Hospital CH) from August 2018 to July 2019. The SSI rate during intervention period (9 months) was compared with baseline rate (3 months). Womens' knowledge about SSI was assessed preoperatively and after counselling, postoperatively.

Results:

The baseline SSI rate after CS (n = 165) was 11.1% at PGIMER and 8.5% at CH. After gynae surgery (n = 172), it was 13% at PGIMER and 11.5% at CH. During intervention, (CS = 585, gynae surgery = 503), SSI rate was reduced significantly at PGIMER (CS 11.1% to 3.7%, P = 0.048; gynae surgery 13% to 7.1%, P = 0.027), but not at CH (CS 8.5% to 8.2%, P = 0.903; gynae surgery 11.5% to 11.4%, P = 0.984). Three measures were followed more often at PGIMER than at CH before CS, bath with hair-wash 99.3% vs 78.5%, P = 0.00, hair-clipper vs razor 100% vs 5.1%, P = 0.00 and antibiotic prophylaxis ≤120 min 100% vs 92.4%, P = 0.00; and before gynae surgery, bath with hair-wash 93.2% vs 71%, P = 0.00, hair-clipper vs razor 93.6% vs 1.9%, P = 0.00 and antibiotic prophylaxis ≤120 min 100% vs 80.8%, P = 0.00. Postoperatively, womens' knowledge about SSI prevention improved significantly at the two sites.

Conclusion:

The reduction in SSI at PGIMER was attributed to better compliance to SSI prevention measures listed above. Counselling women about simple SSI prevention method like preoperative bath with scalp hair wash increased their knowledge about these significantly.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: J Family Med Prim Care Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Índia

Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: J Family Med Prim Care Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Índia