Featured Research

from universities, journals, and other organizations

New practices reduce surgical site infections after colorectal surgery

Date:
November 28, 2012
Source:
Cedars-Sinai Medical Center
Summary:
Surgeons have reduced surgical site infections by more than 60 percent for patients who undergo colorectal procedures by introducing evidence-based protocols that are easy to follow and relatively low in cost.

Surgical teams at Cedars-Sinai have reduced surgical site infections by more than 60 percent for patients who undergo colorectal procedures by introducing evidence-based protocols that are easy to follow and relatively low in cost.

Surgeons, nurses, operating room staff and patients all collaborated in a quality improvement project that measured surgical site infection rates from March 2011 to March 2012. Several new steps were introduced to guard against infections and these have now been expanded and standardized throughout the hospital.

"This work marks a significant step toward achieving Cedars-Sinai's goal of zero hospital-acquired infections," said Rekha Murthy, MD, director of Hospital Epidemiology. "It represents the first of several projects to eliminate post-op infections."

The new approach modified or optimized past practices:

  • Patients used chlorhexidine antiseptic solution to shower the evening and morning before surgery.
  • Surgical teams prepared operative sites with a sterile chlorhexidine and alcohol antiseptic solution prior to surgery. After surgery, patients were bathed with chlorhexidine wipes daily.
  • Antibiotics used immediately prior to surgery were standardized, allowing only those from a short list of appropriate alternatives. For operations lasting more than four hours, a second dose of antibiotics was administered to reduce infection risk.
  • Use of wound protectors was encouraged to reduce contamination of the skin while handling the intestines.
  • After completing the contaminated portion of colorectal procedures, members of surgical teams changed to new gowns and gloves, used new instruments and re-draped operative sites with sterile covers. This reduced contamination of the abdomen and skin during surgical closing procedures.
  • The technique of daily wound probing was broadly applied in some cases of wounds considered to be at high risk for infection. This involved a simple and inexpensive daily process using cotton-tipped applicators (Q-tipsฎ) to release contaminated fluid trapped in wounds.

As a result of these steps and others, the rate of post-operative surgical site infections after colorectal surgeries dropped from a baseline of 15 percent to less than five percent within six months.

Doctors said the infection rate continued to decline after the initial rollout of the protocol, remaining well below five percent through July 2012, which is the most recent data available, Lower infection rates, they said, translate into fewer visits to the Emergency Department, fewer hospital readmissions and less need for subsequent operations.

Cedars-Sinai conducted its test as part of a larger national research project on surgical site infections piloted at seven large hospitals across the country, including Stanford University Medical Center and the Mayo Clinic. Under the collaborative, coordinated by The Joint Commission's Center for Transforming Healthcare, the hospitals each worked to develop a protocol to dramatically reduce surgical site infections among patients who underwent colorectal procedures.

Cedars-Sinai was among the hospitals that showed the best results, exceeding the goal for the hospitals to reduce infection rates by 50 percent and sustaining its success over a prolonged period.


Story Source:

The above story is based on materials provided by Cedars-Sinai Medical Center. Note: Materials may be edited for content and length.


Cite This Page:

Cedars-Sinai Medical Center. "New practices reduce surgical site infections after colorectal surgery." ScienceDaily. ScienceDaily, 28 November 2012. <www.sciencedaily.com/releases/2012/11/121128132307.htm>.
Cedars-Sinai Medical Center. (2012, November 28). New practices reduce surgical site infections after colorectal surgery. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2012/11/121128132307.htm
Cedars-Sinai Medical Center. "New practices reduce surgical site infections after colorectal surgery." ScienceDaily. www.sciencedaily.com/releases/2012/11/121128132307.htm (accessed July 31, 2014).

Share This




More Health & Medicine News

Thursday, July 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Republicans Vote to Sue Obama Over Healthcare Law

House Republicans Vote to Sue Obama Over Healthcare Law

Reuters - US Online Video (July 31, 2014) — The Republican-led House of Representatives votes to sue President Obama, accusing him of overstepping his executive authority in making changes to the Affordable Care Act. Mana Rabiee reports. Video provided by Reuters
Powered by NewsLook.com
Despite Health Questions, E-Cigs Are Beneficial: Study

Despite Health Questions, E-Cigs Are Beneficial: Study

Newsy (July 31, 2014) — Citing 81 previous studies, new research out of London suggests the benefits of smoking e-cigarettes instead of regular ones outweighs the risks. Video provided by Newsy
Powered by NewsLook.com
Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) — Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) — Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins