Key result
Implementation of a surgical care bundle significantly reduced the overall surgical site infection rate from 5.9% to 1.9% (P<0.001) in patients undergoing cardiac surgery.
Why the study?
Does a surgical care bundle reduce surgical site infections in patients undergoing cardiac surgery?
Does a surgical care bundle reduce surgical site infections in patients undergoing cardiac surgery?
Implementation of a surgical care bundle significantly reduces the incidence of surgical site infections, including those caused by resistant organisms, in patients undergoing cardiac surgery.
Answers are grounded in this paper and cite their sources.
May support care bundles to lower SSI in cardiac surgery; leaves open need for RCTs to confirm efficacy.
Background: Surgical Site Infections (SSIs) are the most commonly healthcare-associated infections among patients undergoing surgical procedures. Reaching zero % SSI rate seems to be impossible target, although most of them are easily preventable through effective preventive strategies. Objective: we aimed to evaluate application of a “surgical care bundle” on patients undergoing cardiac surgeries, with the goal of reducing overall SSI rates. Methodology: This interventional study was conducted on two groups of patient: The baseline group consisted of patients having cardiac surgery during a 16-month period of time from January 2012 till April 2013, while the intervention group included patients having cardiac surgery during a 16-month period of time fsrom January 2014 till April 2015, a preparatory period was from (May 2013 till December 2013) in between the 2 periods of time to educate, raise the awareness and build capacities to implement the surgical care bundle and finally reach at least 90% compliance with the bundle. SSI rates were calculated among two patient groups. SSI microbiology was noted; microorganisms were isolated and culture of wound swab or aspirate from patients with SSI, and were identified based on standard microbiological techniques. Every Patient with SSI was followed up for six months to detect mortality from infection. Results: A 4 years study showed a high statistically significant decline in the SSI rate average from 5.9% in baseline group 1.9 % in the intervention group (P value ˂ 0.001).The rate of SSI caused by MRSA revealed a highly statistical significant decline in the patients having SSI in the intervention group 8.01; compared to the baseline group 29.6 (P value ˂ 0.001). Also there was a statistically significant decline in the rate of SSI caused by MDROs from 41.8% in baseline group and 11.6% in the intervention group (P value ˂ 0.05). Probability of survival increased in the intervention group; as the mortality from infection decreased. Conclusion : Strict adherence to surgical care bundle reduced the overall SSI rate, and decreased its rate when caused by MRSA &MDROs in post cardiac surgery patients
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Abdel-Latif et al. (2016) studied Cardiac surgery. Surgical care bundle vs. Baseline group (standard care) was evaluated on Overall surgical site infection (SSI) rate (p=<0.001). Implementation of a surgical care bundle significantly reduced the overall surgical site infection rate from 5.9% to 1.9% (P<0.001) in patients undergoing cardiac surgery.
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