CDC Updates Surgical Site Infection Guidelines
The US Centers for Disease Control and Prevention’s (CDC) Guideline for the Prevention of Surgical Site Infection, 2017 was recently published online in JAMA Surgery. According to the CDC, a surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. Prevention of SSI is a key patient safety issue. The CDC estimates that approximately half of SSIs are preventable through the use of evidence-based strategies.
StayAlert! is currently reviewing the new Guidelines in detail and will publish additional Notices with more in-depth reviews and updated policies.
For now, below is a summary of key recommendations from the JAMA Surgery publication:
- On at least the night prior to surgery, patients should have a full body shower or bath with soap (antimicrobial or nonantimicrobial) or an antiseptic agent.
- The use of antimicrobial prophylaxis should be based on published clinical practice guidelines and be timed in a manner that ensures bactericidal concentration of agents is established in the serum and tissues when the incision is made.
- In cesarean section procedures, antimicrobial prophylaxis should be administered before skin incision.
- Skin preparation in the operating room should be performed using an alcohol-based agent unless contraindicated.
- For clean and clean-contaminated procedures, additional prophylactic antimicrobial agent doses should not be administered after the surgical incision is closed in the operating room, even in the presence of a drain.
- Topical antimicrobial agents should not be applied to the surgical incision.
- During surgery, glycemic control should be implemented using blood glucose target levels less than 200 mg/dL, and normothermia should be maintained in all patients.
- Increased fraction of inspired oxygen should be administered during surgery and after extubation in the immediate postoperative period for patients with normal pulmonary function undergoing general anesthesia with endotracheal intubation.
- Transfusion of blood products should not be withheld from surgical patients as a means to prevent SSI.
Follow the link below to review the updated guidance.
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