1084 Clinical Audit of Surgical Site Infection in Emergency General Surgery Unit at London North West University Healthcare NHS Trust

Aim To reduce the rate of wound infection in surgical patients in Emergency General Surgery Unit of Northwick Park Hospital. To access adherence to national guidelines by Emergency General surgery unit. To access the rate of Surgical site infection in Emergency General surgery unit at Northwick Park Hospital. To check if the rate of Surgical site infection in Emergency General surgery unit is in line with the national standard. Method This was an audit of NICE guideline((NG125)) undertaken in a retrospective manner. Data was collected through questionnaires and patient hospital records. Questionnaires where populated by contacting patients for feedback. Results Nice prescribed a target of 100% in the categories audited. The only exception is perioperative showering that NICE recommended should be carried out whenever possible. Pre-op Nose Swab 61% Perioperative showering 44% Theatre Wear 100% Informed to remove all jewelleries 97% Informed about pre-op antibiotics 66.67% Informed about intra-op antibiotics 14.29% Informed about closure method 77.14% Post op wound dressing services 44% Wound dressing education 49.29% Post op surgical site infection 6.76% Conclusions Overall, Northwick Park hospital maintain a commendable adherence to NICE guideline. This is evident from the very low rate of surgical site infection observed. Strict adherence could be seen in areas that are routinely recommended by NICE. Shortcomings recorded are due to failure in certain levels of communication than non-adherence to guidelines. To ameliorate this, it was concluded that checklist with all the shortcomings should be discussed with every patient and given leaflets to cover these before discharge.