Surgical Infection Reduction Program of the Observatory of Surgical Infection (PRIQ-O): Delphi prioritization and consensus document on recommendations for the prevention of surgical site infection
Josep M Badia, M Dolores Del Toro, Juan F Navarro Gracia, José M Balibrea, Rafael Herruzo, Carmen González Sánchez, Javier Lozano García, Inés Rubio Pérez, Xavier Guirao, Víctor Soria-Aledo, Rafael Ortí-Lucas, Surgical Location Infection Prevention Program Working Group of the Observatory of Infection in Surgery, Josep M Badia, M Dolores Del Toro, Juan F Navarro Gracia, José M Balibrea, Rafael Herruzo, Carmen González Sánchez, Javier Lozano García, Inés Rubio Pérez, Xavier Guirao, Víctor Soria-Aledo, Rafael Ortí-Lucas, Surgical Location Infection Prevention Program Working Group of the Observatory of Infection in Surgery
Abstract
Surgical site infection is the most frequent and avoidable complication of surgery, but clinical guidelines for its prevention are insufficiently followed. We present the results of a Delphi consensus carried out by a panel of experts from 17 Scientific Societies with a critical review of the scientific evidence and international guidelines, to select the measures with the highest degree of evidence and facilitate their implementation. Forty measures were reviewed and 53 recommendations were issued. Ten main measures were prioritized for inclusion in prevention bundles: preoperative shower; correct surgical hand hygiene; no hair removal from the surgical field or removal with electric razors; adequate systemic antibiotic prophylaxis; use of minimally invasive approaches; skin decontamination with alcoholic solutions; maintenance of normothermia; plastic wound protectors-retractors; intraoperative glove change; and change of surgical and auxiliary material before wound closure.
Keywords: Cirugía; Delphi; Infección de localización quirúrgica; Medidas preventivas; Prevención; Preventative measures; Prevention; Surgery; Surgical site infection.
Copyright © 2022 The Authors. Published by Elsevier España, S.L.U. All rights reserved.
Source: PubMed