New 'bundle' approach could reduce surgical site infections

28 August 2014

A new 'bundle' approach could help reduce the number of surgical site infections (SSIs) in patients undergoing colorectal surgery (CRS).

The 'bundle' method aims to incorporate systematic approaches across the phases of perioperative care, but in previous studies that have been shown to have varied success. The various elements of this approach include both evidence-based and commonsense measures, such as wound care and educational materials.

Dr Jeffrey E. Keenan, of the Duke University Medical Center, Durham, and colleagues analysed a SSI bundle, which was used at an academic medical centre in 2011, as well as using data from between 2008 to 2012.

From the data, the team determined that the 'bundle' was associated with reduced superficial SSIs (19.3 per cent compared to 5.7 per cent) and postoperative sepsis (8.5 per cent compared to 2.4 per cent). 

However, the team found that the approach increased other levels like time in hospital and medical costs.

The researchers said that further studies were needed to assess whether the 'bundle' can be "effective with wider application".

Posted by Philip Briggs​

 

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