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Open Access 01-12-2020 | Review

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

Authors: Belinda De Simone, Massimo Sartelli, Federico Coccolini, Chad G. Ball, Pietro Brambillasca, Massimo Chiarugi, Fabio Cesare Campanile, Gabriela Nita, Davide Corbella, Ari Leppaniemi, Elena Boschini, Ernest E. Moore, Walter Biffl, Andrew Peitzmann, Yoram Kluger, Michael Sugrue, Gustavo Fraga, Salomone Di Saverio, Dieter Weber, Boris Sakakushev, Osvaldo Chiara, Fikri M. Abu-Zidan, Richard ten Broek, Andrew W. Kirkpatrick, Imtiaz Wani, Raul Coimbra, Gian Luca Baiocchi, Micheal D. Kelly, Luca Ansaloni, Fausto Catena

Published in: World Journal of Emergency Surgery | Issue 1/2020

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.

Available only for authorised users

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Title: Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines
Authors: Belinda De Simone
Massimo Sartelli
Federico Coccolini
Chad G. Ball
Pietro Brambillasca
Massimo Chiarugi
Fabio Cesare Campanile
Gabriela Nita
Davide Corbella
Ari Leppaniemi
Elena Boschini
Ernest E. Moore
Walter Biffl
Andrew Peitzmann
Yoram Kluger
Michael Sugrue
Gustavo Fraga
Salomone Di Saverio
Dieter Weber
Boris Sakakushev
Osvaldo Chiara
Fikri M. Abu-Zidan
Richard ten Broek
Andrew W. Kirkpatrick
Imtiaz Wani
Raul Coimbra
Gian Luca Baiocchi
Micheal D. Kelly
Luca Ansaloni
Fausto Catena
Publication date: 01-12-2020
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2020
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-020-0288-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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