Important interventions in the operating room to prevent bacterial contamination and surgical site infections

Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved..

BACKGROUND: The aim of this study was to explore interventions that Swedish operating room (OR) nurses considered important for the prevention of bacterial contamination and surgical site infections (SSIs).

METHODS: A web-based cross-sectional survey with an open-ended question was answered by OR nurses and analyzed using summative content analysis and descriptive statistics.

RESULTS: The OR nurses (n = 890) worked within 11 surgical specialties and most of them worked at university hospitals (37%) or county hospitals (53%). The nurses described twelve important interventions to prevent bacterial contamination and SSI: skin disinfection (25.9%), the OR environment (18.2%), aseptic technique (16.4%), OR clothes (13.4%), draping (9.8%), preparation (6.1%), dressing (3.6%), basic hygiene (3.4%), normothermia (2.1%), communication (0.7%), knowledge (0.3%), and work strategies (0.2%).

DISCUSSION: Skin disinfection was considered the most important intervention in order to prevent bacterial contamination and SSI. The responses indicated that many OR nurses believed the patients' skin to be sterile after the skin disinfection process. This is not a certainty, but skin disinfection does significantly decrease the amount of bacterial growth.

CONCLUSIONS: This study shows that many OR nurses' interventions are in line with recommendations. Although, knowledge regarding the effect of skin disinfection needs further research, and continued education.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

American journal of infection control - 50(2022), 9 vom: 01. Sept., Seite 1049-1054

Sprache:

Englisch

Beteiligte Personen:

Wistrand, Camilla [VerfasserIn]
Falk-Brynhildsen, Karin [VerfasserIn]
Sundqvist, Ann-Sofie [VerfasserIn]

Links:

Volltext

Themen:

Cross-infection
Infection control
Infection prevention
Journal Article
Perioperative
Research Support, Non-U.S. Gov't
Surgical preparation

Anmerkungen:

Date Completed 29.08.2022

Date Revised 10.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ajic.2021.12.021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM33507202X