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Global Gidelines for the Pevention of Surgical Site Infection

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Release : 2017-01-27
Genre : Medical
Kind : eBook
Book Rating : 882/5 ( reviews)

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Book Synopsis Global Gidelines for the Pevention of Surgical Site Infection by : World Health Organization

Download or read book Global Gidelines for the Pevention of Surgical Site Infection written by World Health Organization. This book was released on 2017-01-27. Available in PDF, EPUB and Kindle. Book excerpt: Surgical site infections are caused by bacteria that get in through incisions made during surgery. They threaten the lives of millions of patients each year and contribute to the spread of antibiotic resistance. In low- and middle-income countries, 11% of patients who undergo surgery are infected in the process. In Africa, up to 20% of women who have a caesarean section contract a wound infection, compromising their own health and their ability to care for their babies. But surgical site infections are not just a problem for poor countries. In the United States, they contribute to patients spending more than 400 000 extra days in hospital at a cost of an additional US $10 billion per year. No international evidence-based guidelines had previously been available before WHO launched its global guidelines on the prevention of surgical site infection on 3 November 2016, and there are inconsistencies in the interpretation of evidence and recommendations in existing national guidelines. These new WHO guidelines are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.

Global guidelines for the prevention of surgical site infection

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Release : 2018-11-07
Genre : Medical
Kind : eBook
Book Rating : 475/5 ( reviews)

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Book Synopsis Global guidelines for the prevention of surgical site infection by :

Download or read book Global guidelines for the prevention of surgical site infection written by . This book was released on 2018-11-07. Available in PDF, EPUB and Kindle. Book excerpt: The first ever Global guidelines for the prevention of surgical site infection (SSI) were published on 3 November 2016, then updated in some parts and published in a new edition in December 2018. They include a list of 29 concrete recommendations on 23 topics for the prevention of SSI in the pre-, intra and postoperative periods, which are based on 28 systematic reviews of the evidence. For the 2018 update, the membership of the guidelines development group (GDG) was broadened to include an additional eight anaesthesiology experts. The 2018 edition of the guidelines includes the revision of the recommendation regarding the use of 80% fraction of inspired oxygen (high FiO2) in surgical patients under general anaesthesia with tracheal intubation and the update of the section on implementation. Between 2017 and 2018, WHO re-assessed the evidence on the use of high FiO2 by updating the systematic review related to the effectiveness of this intervention to reduce SSI and commissioning an independent systematic review on adverse events potentially associated with it. Based on the updated evidence, the GDG decided to revise the strength of the recommendation from strong to conditional.

Surgical Site Infection

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Release : 2008
Genre : Surgical wound infections
Kind : eBook
Book Rating : 691/5 ( reviews)

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Book Synopsis Surgical Site Infection by : Andrew Welsh

Download or read book Surgical Site Infection written by Andrew Welsh. This book was released on 2008. Available in PDF, EPUB and Kindle. Book excerpt: Infections that occur in the wound created by an invasive surgical procedure are generally referred to as surgical site infections (SSIs). SSIs are one of the most important causes of healthcare-associated infections (HCAIs). A prevalence survey undertaken in 2006 suggested that approximately 8% of patients in hospital in the UK have an HCAI. SSIs accounted for 14% of these infections and nearly 5% of patients who had undergone a surgical procedure were found to have developed an SSI. However, prevalence studies tend to underestimate SSI because many of these infections occur after the patient has been discharged from hospital. SSIs are associated with considerable morbidity and it has been reported that over one-third of postoperative deaths are related, at least in part, to SSI. However, it is important to recognise that SSIs can range from a relatively trivial wound discharge with no other complications to a life-threatening condition. Other clinical outcomes of SSIs include poor scars that are cosmetically unacceptable, such as those that are spreading, hypertrophic or keloid, persistent pain and itching, restriction of movement, particularly when over joints, and a significant impact on emotional wellbeing. SSI can double the length of time a patient stays in hospital and thereby increase the costs of health care. Additional costs attributable to SSI of between £814 and £6626 have been reported depending on the type of surgery and the severity of the infection. The main additional costs are related to re-operation, extra nursing care and interventions, and drug treatment costs. The indirect costs, due to loss of productivity, patient dissatisfaction and litigation, and reduced quality of life, have been studied less extensively.

Practical Healthcare Epidemiology

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Release : 2018-04-19
Genre : Medical
Kind : eBook
Book Rating : 166/5 ( reviews)

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Book Synopsis Practical Healthcare Epidemiology by : Ebbing Lautenbach

Download or read book Practical Healthcare Epidemiology written by Ebbing Lautenbach. This book was released on 2018-04-19. Available in PDF, EPUB and Kindle. Book excerpt: A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.

Infections in Surgery

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Release : 2021-01-29
Genre : Medical
Kind : eBook
Book Rating : 162/5 ( reviews)

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Book Synopsis Infections in Surgery by : Massimo Sartelli

Download or read book Infections in Surgery written by Massimo Sartelli. This book was released on 2021-01-29. Available in PDF, EPUB and Kindle. Book excerpt: Although most clinicians are aware of the problem of antimicrobial resistance, most also underestimate its significance in their own hospital. The incorrect and inappropriate use of antibiotics and other antimicrobials, as well as poor prevention and poor control of infections, are contributing to the development of such resistance. Appropriate use of antibiotics and compliance with infection prevention and control measures should be integral aspects of good clinical practice and standards of care. However, these activities are often inadequate among clinicians, and there is a considerable gap between the best evidence and actual clinical practice. In hospitals, cultural determinants influence clinical practice, and improving behaviour in terms of infection prevention and antibiotics-prescribing practice remains a challenge. Despite evidence supporting the effectiveness of best practices, many clinicians fail to implement them, and evidence-based processes and practices that are known to optimize both the prevention and the treatment of infections tend to be underused. Addressing precisely this problem, this volume offers an essential toolkit for all surgeons and intensivists interested in improving their clinical practices.

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