Global guidelines for the prevention of surgical site infection

The first ever Global guidelines for the prevention of surgical site infection (SSI) were published on 3 November 2016, then updated in some parts and published in a new edition in December 2018. They include a list of 29 concrete recommendations on 23 topics for the prevention of SSI in the pre-, i...

Descripción completa

Detalles Bibliográficos
Autor principal: World Health Organization (author)
Autor Corporativo: World Health Organization, author, issuing body (author)
Formato: Libro electrónico
Idioma:Inglés
Publicado: Geneva, Switzerland : World Health Organization 2018.
Materias:
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009816714306719
Tabla de Contenidos:
  • 1. Background
  • 1.1. Target audience
  • 1.2. Scope of the guidelines
  • 2. Methods
  • 2.1. WHO guideline development process
  • 2.2. Evidence identification and retrieval
  • References
  • 3. Important Issues in the Approach to Surgical Site Infection Prevention
  • 3.1. Surgical site infection risk factors: epidemiology and burden worldwide
  • 3.2. Surgical site infection surveillance: definitions, methods and impact
  • 3.3. Importance of a clean environment in the operating room and decontamination of medical devices and surgical instruments
  • 4. Evidence-Based Recommendations on Measures for the Prevention of Surgical Site Infection
  • Preoperative Measures
  • Preoperative and/or Intraoperative Measures
  • Postoperative Measures
  • 5. Dissemination and Implementation of the Guidelines
  • Guidelines implementation
  • Guidelines dissemination and evaluation
  • References
  • 6. Annexes
  • 6.1. Guidelines Development Group
  • 6.2. WHO Steering Group
  • 6.3. Systematic Reviews Expert Group
  • 6.4. External Peer Review Group
  • Web appendices
  • Web Appendix 1. Overview of available relevant guidelines on surgical site infection prevention
  • Web Appendix 2. Summary of a systematic review on preoperative bathing
  • Web Appendix 3. Summary of a systematic review on decolonization with mupirocin ointment with or without chlorhexidine gluconate body wash for the prevention of Staphylococcus aureus infection in nasal carriers undergoing surgery
  • Web Appendix 4. Summary of a systematic review on screening for extended spectrum beta-lactamase and the impact on surgical antibiotic prophylaxis
  • Web Appendix 5. Summary of a systematic review on optimal timing for preoperative surgical antibiotic prophylaxis
  • Web Appendix 6. Summary of a systematic review on mechanical bowel preparation and the use of oral antibiotics
  • Web Appendix 7. Summary of a systematic review on the effectiveness and optimal method of hair removal
  • Web Appendix 8. Summary of a systematic literature review on surgical site preparation
  • Web Appendix 9. Summary of a systematic review on antimicrobial skin sealants
  • Web Appendix 10. Summary of a systematic review on surgical hand preparation
  • Web Appendix 11. Summary of a systematic review on enhanced nutritional support
  • Web Appendix 12. Summary of a systematic review on the perioperative discontinuation of immunosuppressive agents
  • Web Appendix 13a. Summary of the systematic review on perioperative oxygenation issued in 2016. Superseded by Appendix 13b and 13c
  • Web Appendix 13b. Effectiveness of 80% versus 30-35% fraction of inspired oxygen in patients undergoing surgery: an updated systematic review and meta-analysis
  • Web Appendix 13c. Safety of 80% vs 30-35% fraction of inspired oxygen in patients undergoing surgery: a systematic review and meta-analysis
  • Web Appendix 14. Summary of a systematic review on maintaining normal body temperature (normothermia)
  • Web Appendix 15. Meta-analysis of lower perioperative blood glucose target levels for reduction of surgical-site infection
  • Web Appendix 16. Summary of a systematic review on the maintenance of adequate circulating volume control/normovolemia
  • Web Appendix 17. Summary of a systematic review on drapes and gowns
  • Web Appendix 18. Summary of a systematic review on wound protector devices
  • Web Appendix 19. Systematic Review and Meta-Analysis of Randomized Controlled Trials Evaluating Prophylactic Intra-Operative Wound Irrigation for the Prevention of Surgical Site Infections
  • Web Appendix 20. A systematic review and meta-analysis including GRADE qualification of the risk of surgical site infections after prophylactic negative pressure wound therapy compared with conventional dressings in clean and contaminated surgery
  • Web Appendix 21. Summary of a systematic review on the use of surgical gloves
  • Web Appendix 22. Summary of a systematic review on the changing of surgical instruments
  • Web Appendix 23. Antimicrobial-coated sutures to decrease surgical site infections: a systematic review and meta-analysis
  • Web Appendix 24. Effect of laminar airflow ventilation on surgical site infections: a systematic review and meta-analysis
  • Web Appendix 25. Summary of a systematic review on surgical antibiotic prophylaxis prolongation
  • Web Appendix 26. Summary of a systematic review on advanced dressings
  • Web Appendix 27. Summary of a systematic review on antimicrobial prophylaxis in the presence of a drain and wound drain removal.