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Guideline for Prevention of Surgical Wound Infections

Published online by Cambridge University Press:  02 January 2015

Extract

Patients who undergo a surgical operation are at high risk of having one or more nosocomial infections. These infections develop in more surgical patients (8%) than in any other patient group, and about 70% of all nosocomial infections throughout the hospital develop in patients who have an operation. Most infections in surgical patients, however, are not related to the wound but to instrumentation of the urinary and respiratory tracts. Thus, personnel who take care of these patients should be aware of measures to prevent nosocomial infections at all sites. Moreover, to prevent surgical wound infections, personnel who perform the operation must take the lead in instituting prevention measures, because the most important measures involve use of good surgical technique and are not easily instituted simply by making changes in hospital policy.

Type
Research Article
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1982

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References

1. Haley, RW, Hooton, TM, Culver, DH, et al. Nosocomial infections in U.S. hospitals, 1975-1976: Estimated frequency by selected characteristics of patients. Am J Med 1981;70:947959.Google Scholar
2. Center for Disease Control. Trends in surgical wound infection rates—United States. Morbid Mortal Weekly Rep 1980;29:27-28, 33.Google Scholar
3. Howard, JM, Barker, WF, Culbertson, WR, et al. Postoperative wound infections: The influence of ultraviolet irradiation of the operating room and various other factors. Ann Surg 1964;160(suppl):1192.Google Scholar
4. Altemeier, WA. Surgical infections: Incisional wounds. In: Bennett, JV, Brachman, PS (eds) Hospital Infections. Boston: Little, Brown and Company, 1979;287306.Google Scholar
5. American College of Surgeons Committee on Control of Surgical Infections. Manual on Control of Infection in Surgical Patients. Philadelphia: JB Lippincott, 1976.Google Scholar
6. Cruse, PJE, Foord, R. The epidemiology of wound infection. A ten-year prospective study of 62,939 wounds. Surg Clin North Am 1980;60:2740.CrossRefGoogle Scholar
7. Aber, RC, Garner, JS. Postoperative wound infections. In: Wenzel, RP (ed) Handbook of Hospital Acquired Infections. Boca Raton, Florida: CRC Press, Inc, 1981;303316.Google Scholar
8. Bruun, J. Postoperative wound infection: Pre-disposing factors and the effect of a reduction in the dissemination of staphylococci. Acta Med Scand (suppl) 1970;514:(suppl)189.Google Scholar
9. Seropian, R, Reynolds, BM. Wound infections after preoperative depilatory versus razor preparation. Am J Surg 1971;121:251254.Google Scholar
10. Dineen, P. An evaluation of the duration of the surgical scrub. Surg Gynecol Obstet 1969;129:11811184.Google Scholar
11. Galle, PC, Homesley, HD, Rhyne, AL. Reassessment of the surgical scrub. Surg Gynecol Obstet 1978;147:215218.Google Scholar
12. Walter, CW, Kundsin, RB. The bacteriologic study of surgical gloves from 250 operations. Surg Gynecol Obstet 1969;129:949952.Google ScholarPubMed
13. U.S. Department of Health, Education, and Welfare. Minimum requirements of construction and equipment for hospitals and medical facilities. (HRA 79-145000). Washington, DC: U.S. Government Printing Office, 1979.Google Scholar
14. Moggio, M, Goldner, L, McCollum, D, Beissinger, S. Wound infections in patients undergoing total hip arthroplasty: Ultraviolet light for the control of airborne bacteria. Arch Surg 1979;114:815823.Google Scholar
15. Schwartz, JT, Saunders, DE. Microbial penetration of surgical gown materials. Surg Gynecol Obstet 1980;150:507512.Google ScholarPubMed
16. Moylan, JA, Kennedy, BV. The importance of gown and drape barriers in the prevention of wound infection. Surg Gynecol Obstet 1980;151:465470.Google Scholar
17. Laufman, H, Eudy, WW, Vandernoot, AM, Liu, D, Harris, CA. Strike-through of moist contamination by woven and nonwoven surgical materials. Ann Surg 1975;181:857862.CrossRefGoogle ScholarPubMed
18. Lange, K. AORN standards for OR sanitation. AORN J 1975;21:12231231.Google Scholar
19. Laufman, H. Surgical hazard control: Effect of architecture and engineering. Arch Surg 1973;107:552559.Google Scholar
20. McIlrath, DC, Van Heerden, J, Edis, AJ. Closure of abdominal incisions with subcutaneous catheters. Surgery 1976;4:41124116.Google Scholar
21. van der Linden, W, Gedda, S, Edlund, G. Randomized trial of drainage after cholecystectomy: Suction versus static drainage through a main wound versus a stab incision. Am J Surg 1981;141:289294.Google Scholar
22. Verrier, ED, Bossart, KJ, Heer, FW. Reduction of infection rates in abdominal incisions by delayed wound closure techniques. Am J Surg 1979;138:2228.Google Scholar
23. Polk HC, Jr Lopez-Mayor, JF. Postoperative wound infection: A prospective study of determinant factors and prevention. Surgery 1969;66:97103.Google Scholar
24. Stone, HH, Haney, BB, Kolb, LD, Geheber, CE, Hooper, CA. Prophylactic and preventive antibiotic therapy: Timing, duration, and economics. Ann Surg 1979;189:691699.CrossRefGoogle ScholarPubMed
25. Hurley, DL, Howard, P, Hahn, HH II Perioperative prophylactic antibiotics in abdominal surgery: A review of recent progress. Surg Clin North Am 1979;59:919933.Google Scholar
26. Maki, DG. Lister revisited: Surgical antisepsis and asepsis. N Engl J Med 1976;294:12861287.CrossRefGoogle ScholarPubMed
27. Viljanto, J. Disinfection of surgical wounds without inhibition of normal wound healing. Arch Surg 1980;115:253256.Google Scholar