Surginfection

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Synopsis

Every week we review a recently published peer-reviewed article in the field of surgery and surgical infection prevention, summarising what you, the surgical trainee need to know

Episodes

  • The use of gloves in healthcare associated infection. Current controversies

    The use of gloves in healthcare associated infection. Current controversies

    08/11/2012 Duration: 07min

    Does double gloving reduce SSI rates? What evidence exists to support the use of antimicrobial impregnated gloves?

  • Surgical hand antisepsis to reduce surgical site infection.

    Surgical hand antisepsis to reduce surgical site infection.

    01/01/2012 Duration: 07min

    What is the best solution to use for surgical scrubbing?

  • Effects of subcutaneous drain for the prevention of incisional SSI in high-risk patients undergoing colorectal surgery.

    Effects of subcutaneous drain for the prevention of incisional SSI in high-risk patients undergoing colorectal surgery.

    24/05/2011 Duration: 07min

    Placing subcut drains intra-operatively in high risk patients

  • Intra-operative technique as a factor in the prevention of surgical site infection

    Intra-operative technique as a factor in the prevention of surgical site infection

    18/04/2011 Duration: 07min

    What constitutes best practice intra-operatively to minimise SSI

  • Pre-educational intervention survey of healthcare practitioners compliance with infection prevention measures in cardiothoracic surgery: low compliance but internationally comparable surgical site infection rate.

    Pre-educational intervention survey of healthcare practitioners' compliance with infection prevention measures in cardiothoracic surgery: low compliance but internationally comparable surgical site infection rate.

    01/03/2011 Duration: 07min

    What are the compliance rates of surgeons, nurses and anaesthetists to infection prevention peri-operatively? This study in a maltese hospital assesses these compliance rates

  • A targeted e-learning programme for surgical trainees to enhance patient safety in preventing surgical infection

    A targeted e-learning programme for surgical trainees to enhance patient safety in preventing surgical infection

    11/01/2011 Duration: 07min

    Our website www.surginfection.com was used as part of a blended learning initiative in our local hospital. We report on the use of audit to tailor make targeted educational interventions as well as detail website acess data for the first 6 weeks following it going live online.

  • Role of patient awareness in prevention of peripheral vascular catheter-related bloodstream infection

    Role of patient awareness in prevention of peripheral vascular catheter-related bloodstream infection

    14/12/2010 Duration: 08min

    Could patient education improve infection control practices with regards to IV lines in surgical patients? This study exmaines a cohort of surgical patients with peripheral iv lines and determines the level of patient awareness with regard to the indication for insertion

  • Effect of a comprehensive surgical safety system on patient outcomes

    Effect of a comprehensive surgical safety system on patient outcomes

    12/11/2010 Duration: 06min

    Is it a case of the more surgical checklists the better? Following on from the SSSL peri-operative checklist from the WHO, this team of researchers from the Netherlands examine whether a checklist encompassing both pre- and post-operative phases of a patients in-hospital journey can decrease adverse surgical events

  • Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis

    Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis

    12/10/2010 Duration: 07min

    This study is a randomised controlled multicentre trial from the USA, published in the NEJM. In it it compares chlorhexidine-alcohol against povidone-iodine to determine which is most effective as pre-operative surgical site antisepsis in prevention of surgical site infection

  • Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis

    07/09/2010 Duration: 07min
  • Use of face masks by non-scrubbed operating room staff: a randomized controlled trial

    Use of face masks by non-scrubbed operating room staff: a randomized controlled trial

    20/07/2010 Duration: 06min

    This study, published in the ANZ J Surgery 2010 is a randomized controlled trial assessing whether the wearing of face masks by non scrubbed personnel in operating theatres is in fact associated with a decreased risk of SSI to the patient

  • Compliance with guidelines to prevent surgical site infections: As simple as 1-2-3?

    Compliance with guidelines to prevent surgical site infections: As simple as 1-2-3?

    01/07/2010 Duration: 06min

    This study published in the Am J Surg in June 2010 (epub ahead of print) is an assessment in two US hospitals of compliance to best practice in terms of surgical prophylaxis choice, timing and duration, as well as maintenance of patient normothermia intra-operatively

  • Preventing Surgical-Site Infections in Nasal Carriers of Staphlococcus aureus

    Preventing Surgical-Site Infections in Nasal Carriers of Staphlococcus aureus

    09/06/2010 Duration: 07min

    This study published in the New England Journal of Medicine 2010 examines whether eradication of staph aureus in patients colonised leads to decreased healthcare-association infection by S. aureus

  • Diagnosis of Necrotizing Soft Tissue Infections by Computed Tomography

    Diagnosis of Necrotizing Soft Tissue Infections by Computed Tomography

    24/05/2010 Duration: 07min

    A study of CT sensitivity and specificity in diagnosing necrotising soft tissue infection

  • Infection control practices and infectious complications in dermatological surgery

    Infection control practices and infectious complications in dermatological surgery

    30/04/2010 Duration: 08min

    A study of nearly 3,500 skin lesion exicisons examining factors and practice associated with an increased SSI rate.

  • The necktie as a potential vector of infection: are doctors happy to do without?

    The necktie as a potential vector of infection: are doctors happy to do without?

    27/04/2010 Duration: 05min

    Recently the UK department of Health recommended that doctors should not wear neckties. However here in Ireland it remains commonplace for ties to be worn. What should the medical profession be wearing?

  • Behaviours and Rituals in the Operating Theatre

    Behaviours and Rituals in the Operating Theatre

    12/04/2010 Duration: 09min

    Published in the Journal of Hospital Infection in 2002, this comprehensive review focusses on current practice in operating theatres, and elucidates how much of what we do is evidence-based, and how much is simply based on ritual

  • Diathermy vs. Scalpel incisions in General Surgery

    Diathermy vs. Scalpel incisions in General Surgery

    24/03/2010 Duration: 07min

    Published in the World Journal of Surgery in 2009, this randomised, double blinded trial compares diathermy and scalpel incisions across a range of general surgical procedures and reviews over outcomes such as operation time and wound infection rates

  • The timing of surgical antimicrobial prophylaxis

    The timing of surgical antimicrobial prophylaxis

    15/03/2010 Duration: 08min

    Published in the Annals of Surgery in 2008, this trial uses multivariate statistical analysis assessing timing of administration of 1.5g Cefuroxime as surgical prophylaxis and measuring SSI incidence. It found a significant decrease in the odds of SSI when antimicrobial prophylaxis was administered between 59 and 30 mins pre-incision

  • Optimising surgical technique to minimise surgical site infection

    Optimising surgical technique to minimise surgical site infection

    08/03/2010 Duration: 08min

    A number of guidelines exist with regards best practice intra-operatively. We review these guidelines, deliniating those most important to surgical trainees. We further examine whether these guidelines are evidence based in randomised control trials, or whether they are based upon behaviours and rituals accepted in the operating theatre

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