Table 4cArticles addressing prevention of surgical site infections (studies addressing use of appropriate antibiotic prophylaxis): before-after studies with good methodologic quality

AuthorSetting and Hospital TypeStudy periodLength of follow-upPreventive InterventionsQuality improvement interventionResults
*Greco 199161 Italy12/1988 – 6/198919 monthsAppropriate use of perioperative antibiotics QI strategies: Clinician education, audit and feedback, clinician reminder Infection rate prior to intervention: 7.8% of patients
Multiple hospitals of different typesDecreasing use of preoperative shaving of the operative siteSeries of meetings with surgeons and nurses from each of participating wards. Data on infection incidence and practices were discussed and best practices reviewed including: appropriate use of perioperative antibiotics (pre-operative, limited duration, appropriate selection), avoidance of preoperative shaving, closed drainage of urinary catheters and surgical drains, implementation of respiratory exercises, use of hygienic measures for urinary catheters.Infection rate after intervention: 6.2% of patients
Audit and feedback of infection rates to hospitals or individual cliniciansp=NS
*

This study addresses prevention of surgical site infections and catheter-associated urinary tract infections.

From: 3, Results

Cover of Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 6: Prevention of Healthcare–Associated Infections)
Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 6: Prevention of Healthcare–Associated Infections).
Technical Reviews, No. 9.6.
Ranji SR, Shetty K, Posley KA, et al.

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