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Surgical Site Infection: Prevention and Treatment of Surgical Site Infection

Surgical Site Infection: Prevention and Treatment of Surgical Site Infection

NICE Clinical Guidelines - National Collaborating Centre for Women's and Children's Health (UK)

Version: October 2008

Summary of recommendations

Offer patients and carers clear, consistent information and advice throughout all stages of their care. This should include the risks of surgical site infections, what is being done to reduce them and how they are managed.

Postoperative phase

Is there any clinical evidence to support the use of a postoperative non-touch dressing change technique rather than the use of a clean dressing change technique in relation to the incidence of surgical site infection?

Intraoperative phase

What is the clinical hand decontamination strategy to use between subsequent surgeries?

Search strategies

Because many of our searches essentially served to update the searches in the previous Surgical Site Infection Consultation document, and comments made had not specifically criticised the previous searches undertaken nor the evidence that was identified, it was not felt necessary to cover the same territory twice. The Technical Team confirmed any available important work in the field, such as systematic reviews or meta analyses, and the Information Scientist conducted the searches from that study date forward. This allowed us to avoid duplicating time-consuming work, while still being up to date.

Evidence tables

Sex, weight, height, BMI, obesity, diabetes, smoking (up to 3 months pre- op), hypertension, dyslipidaemia, COPD, previous corticoid or antibiotic use, permanent pacemaker, renal insufficiency, secondary diagnoses, acute MI (up to 1 month pre-op), angina, coronary stent, ejection fraction, functional class, previous sternotomy, type of surgery, use of beta-adrenergic drugs, pre-op hospital stay length

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