There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
Abstract
Introduction / objectives
Recent findings suggest that the Surgical Care Improvement Project (SCIP) a US-Based
“process initiative” fails to reduce the risk of SSIs. The following evidence-based
discussion proposes a SCIP-PLUS perspective for reducing risk of SSIs through enhanced
antimicrobial prophylaxis and embracing innovative antimicrobial risk reduction technology.
Methods
Four risk reduction initiatives were studied, A: Impact of BMI on antimicrobial prophylactic
dosing in general, OB and CT surgical patients; B: Development of standardized regimen
of CHG preadmission cleansing to improve outcome in surgical patients; C: Efficacy
of antimicrobial sutures to reduce the risk of suture contamination at wound closure
and D: The impact of an innovative antimicrobial surgical glove to reduce the risk
of microbial contamination following glove microperforation.
Results
A: 2-gm dosing in surgical patients failed to provide adequate tissue concentrations
at BMI >30 (p<0.05); B: Standardization of skin cleansing using a 2% CHG polyester
cloths was effective at providing skin concentrations sufficient to inhibit/kill wound
pathogens compared to non-standardized regimen (p<0.001); C: Laboratory/clinical studies
demonstrate that antimicrobial suture technology is effective (p<0.05) at reducing
the risk of suture contamination and SSI; D: Innovative antimicrobial surgical glove
was effective (p<0.001) at reducing bacterial passage following microperforation which
can lead to wound contamination.
Conclusion
An effective SCIP-PLUS strategy requires multi-faceted evidence-based approach including
antimicrobial dosing to compensate for BMI, thoughtful preadmission skin cleansing,
use of antimicrobial suture technology at wound closure and embracing innovative antimicrobial
surgical glove technology reducing the risk of bacterial passage into the surgical
wound.
Disclosure of interest
None declared.
This is an open access article distributed under the terms of the Creative Commons
Attribution License (
http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided
the original work is properly cited.
Conference name:
International Conference on Prevention & Infection Control (ICPIC 2011)