Educational intervention, revised instrument sterilization methods, and comprehensive preoperative skin preparation protocol reduce cesarean section surgical site infections

American Journal of Infection Control

Volumn 38, Issue 4, 2010, Pages 319-323

  Rauk, Phillip N ^a  

^a UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

C section surgical site infections; chlorhexidine gluconate skin preparation; obstetrical surgical site infections; Surgical site infections

Indexed keywords

ALCOHOL; CHLORHEXIDINE GLUCONATE;

ARTICLE; CESAREAN SECTION; CLINICAL PROTOCOL; CONTROLLED STUDY; ENDOMETRITIS; FEMALE; HEALTH CARE QUALITY; HEALTH EDUCATION; HOSPITAL PERSONNEL; HUMAN; INSTRUMENT STERILIZATION; PREOPERATIVE CARE; SKIN CARE; STAFF TRAINING; SURGICAL INFECTION; UNITED STATES;

CESAREAN SECTION; CHLORHEXIDINE; DISINFECTANTS; DISINFECTION; EDUCATION; FEMALE; HUMANS; INCIDENCE; INTERVENTION STUDIES; MINNESOTA; PREOPERATIVE CARE; STERILIZATION; SURGICAL WOUND INFECTION;

EID: 77951978270     PISSN: 01966553     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajic.2009.10.004     Document Type: Article

References (17)

1. Hamilton BE, Martin JA, Ventura SJ. Division of Vital Statistics, Centers for Disease Control and Prevention. Births: preliminary data for 2005. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr55/nvsr55_11.pdf. Accessed January 27, 2009.
2. Villar J., Carroli G., Zavaleta N., Donner A., Wojdyla D., Faundes A., et al., World Health Organization 2005 Global Survey on Maternal and Perinatal Health Research Group. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ 335 (2007) 1025
3. Edwards J.R., Peterson K.D., Andrus M.L., Dudeck M.A., Pollock D.A., Horan T.C., et al. National Healthcare Safety Network (NHSN) Report, data summary for 2006 through 2007, issued November 2008. Am J Infect Control 36 (2008) 609-626
4. Johnson A., Young D., and Reilly J. Cesarean section surgical site infection surveillance. J Hosp Infect 64 (2006) 30-35
5. Duff P. Maternal and perinatal infection-bacterial. In: Gabbe S.G., Niebyl J.R., and Simpson J.L. (Eds). Obstetrics: normal and problem pregnancies. 5th Ed (2007), Churchill Livingstone Elsevier, Philadelphia, PA 1242
6. Soper D.E. Infections following cesarean section. Curr Opin Obstet Gynecol 5 (1993) 517-520
7. Tran T.S., Jamulitrat S., Chongsuvivatwong V., and Geater A. Risk factors for postcesarean surgical site infection. Obstet Gynecol 95 (2000) 367-371
8. Chelmow D., Ruehli M.S., and Huang E. Prophylactic use of antibiotics for nonlaboring patients undergoing cesarean delivery with intact membranes: a meta-analysis. Am J Obstet Gynecol 184 (2001) 656-661
9. Stone P.W., Braccia D., and Larson E. Systematic review of economic analyses of health care-associated infections. Am J Infect Control 33 (2005) 501-509
10. Urban J.A. Cost analysis of surgical site infections. Surg Infect 7 Suppl 1 (2006) S19-S22
11. Institute for Healthcare Improvement. Getting started kit: prevent surgical site infections how-to guide. Available from: www.ihi.org. Accessed July 30, 2008.
12. Mangram A.J., Horan T.C., Pearson M.L., Silver L.C., and Jarvis W.R. The Hospital Infection Control Practices Advisory Committee. Guideline for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol 20 (1999) 247-278
13. Pottinger J.M., Starks S.E., and Steelman V.M. Skin preparation. Perioperative Nurs Clin 1 (2006) 203-210
14. Vernon M.O., Hayden M.K., Trick W.E., Hayes R.A., and Blom D.W. Weinstein RA for the Chicago Antimicrobial Resistance Project (CARP). Chlorhexidine gluconate to cleanse patients in a medical intensive care unit. Arch Intern Med 166 (2006) 306-312
15. Edmiston Jr. C.E., Seabrook G.R., Johnson C.P., Paulson D.S., and Beausoleil C.M. Comparative of a new and innovative 2% chlorhexidine gluconate-impregnated cloth with 4% chlorhexidine gluconate as topical antiseptic for preparation of the skin prior to surgery. Am J Infect Control 35 (2007) 89-96
16. DeBaun B. Evaluation of the antimicrobial properties of an alcohol-free 2% chlorhexidine gluconate solution. AORN J 87 (2008) 925-933
17. Bleasdale S.C., Trick W.E., Gonzalez I.M., Lyles R.D., Hayden M.K., and Weinstein R.A. Effectiveness of chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care unit patients. Arch Intern Med 167 (2007) 2073-2079