What interventions are performed in daily practice to prevent surgical site infections in neurosurgical patients? Findings from an explorative survey

Aim The primary aim of the study was to describe the perioperative care ensured on a daily basis to prevent surgical site infection in Italian neurosurgeries; the secondary aim was to explore surgical site infections 30 days after the surgical procedures. Methods Patients cared for in 16 neurosurgic...

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Bibliographic Details
Published in:	Journal of perioperative practice Vol. 29; no. 7-8; pp. 247 - 253
Main Authors:	Moreale, Renzo, Doretto, Mara, Maccherozzi, Milena, Marangone, Rosj, Noacco, Massimo, Paiani, Alex, Razzini, Cristina, Rizzi, Giulia, Romano, Alessia, Sbrizzai, Quinto, Simeoni, Irene, Palese, Alvisa
Format:	Journal Article
Language:	English
Published:	London, England SAGE Publications 01-07-2019 Association for Perioperative Practice
Subjects:	Antibiotics Bacterial infections Disease prevention Medical dressings Neurosurgery Nursing Nursing care Postoperative period Sterilization Surgical site infections Surgical site infections Neurosurgical / Italy Perioperative care
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Summary:	Aim The primary aim of the study was to describe the perioperative care ensured on a daily basis to prevent surgical site infection in Italian neurosurgeries; the secondary aim was to explore surgical site infections 30 days after the surgical procedures. Methods Patients cared for in 16 neurosurgical units who (a) were ≥18 years of age, (b) underwent neurosurgical procedures, and (c) were willing to participate in the study were taken into account. Results A total of 383 patients were included. A preoperative shower was performed in 332 cases (86.7%), shaving in 318 (83%) cases, and antibiotic prophylaxis was administered in 293 (76.5%) cases. Surgical site disinfection was performed mainly with povidone–iodine (344; 89.8%). A surgical site dressing was applied in 376 (98.2%) cases and was changed on average after 37.8h for shaved and 39h for non-shaved patients. Postoperative shampooing was performed only in 74 (19.3%) cases. Surgical site infection at 30 days occurred in three (0.8%) patients. Discussion and conclusions: Perioperative care aimed at preventing surgical site infections is variable across Italian neurosurgical units. More studies aimed at developing evidence capable of supporting decision-making processes in neurosurgery care are strongly recommended.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1750-4589 2515-7949
DOI:	10.1177/1750458918770338