Prophylaxis of Surgical Site Infection in Abdominal Surgery

Jaime Ruiz-Tovar, MD, PhD (Editor)
Department of Bariatric Surgery, Centro de Excelencia para el Diagnostico y Trataamiento de la Obesidad (Valladolio-Spain, Professor og Surgery, Universidad Alfonso X, Madrid (Spain)
Department of Surgery, Universidad Autónoma de Madrid, Spain
Obesity Unit, Garcilaso Clinic, Madrid, Spain
Department of Surgery. Centro de Excelencia para el Estudio y Tratamiento de la Obesidad, Valladolid, Spain
Department of Surgery, University Hospital Rey Juan Carlos, Mostoles, Madrid, Spain

Andrés García Marín, MD, PhD (Editor)
Department of Surgery, Hospital Universitario San Juan de Alicante, Alicante, Spain
Professor of Surgery, Department of Pathology and Surgery, University Miguel Hernández, Elche, Alicante, Spain

Series: Surgery – Procedures, Complications, and Results
BISAC: MED085000

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Surgical site infection (SSI) is one of the most frequent complications after abdominal surgery as abdominal procedures are often clean-contaminated, contaminated or even dirty procedures, so long the gastrointestinal tract, plenty of microorganisms, is entered. SSI is associated with morbidity and mortality, and reduces the patients´ quality of life after surgery. Moreover, it prolongs hospital stay and requires increased instrumentation, medication and complementary tests, altogether representing an economic burden for the Health Services. This has led to the development of several Guidelines and Consensus documents, including prophylactic measures to prevent SSI.

Different scientific societies, including the World Health Organization (WHO), the Center for Disease Control (CDC), the American College of Surgeons (ACS) and the Surgical Infection Society (SIS), have published recommendations for the prevention of SSI in the last years. All the documents agree with most of the recommendations. However, the evidence grade of these recommendations is often low to moderate and with the aim to generalize these measures to all the surgical procedures, the extrapolations lead to a lowered evidence power. Thus, in some cases the force of the recommendations is based on the opinion of experts in the field.
The aim of this book is to revise the actual evidence about these prophylactic measures in abdominal surgery.
(Imprint: Nova Medicine and Health)

Preface

Chapter 1. Epidemiology of Surgical Site Infection
(Pablo Priego, PhD, Department of General Surgery, Division of Esophagogastric and Bariatric Surgery, Ramón y Cajal University Hospital, Madrid, Spain_

Chapter 2. Adequate Nutritional Support for the Prophylaxis of Surgical Site Infection
(Andrei Sarmiento, MD, Grace Amesquita, MD, and Ramiro Carbajal, MD, Metabolic and Bariatric Surgeon, Hospital Santa Rosa, Lima, Perú, and others)

Chapter 3. Preoperative Bath and Shave
(Cristina Bernabeu Herraiz, MD, and Lorena Rodríguez Cazalla, MD, Department of General and Digestive Surgery, University Hospital San Juan, Alicante, Spain)

Chapter 4. Mechanical Bowel Preparation
(Andrés García Marín and Mercedes Pérez López, Department of General and Digestive Surgery, Hospital Hellín, Albacete, Spain, and others)

Chapter 5. Antibiotic Prophylaxis
(Noel Rojas-Bonet and Maria del Mar García-Navarro, Department of General and Digestive Surgery, University Hospital San Juan, Alicante, Spain, and others)

Chapter 6. Hands and Skin Preparation
(Lorena Rodríguez Cazalla and Cristina Bernabeu Herraiz, Department of General and Digestive Surgery, University Hospital San Juan, Alicante, Spain)

Chapter 7. Hyperoxygenation, Hypothermia Prevention, Normoglycemia and Normovolemia
(Esther García Villabona, MD, and Carmen Vallejo Lantero, MD, Anesthesiology Department, Hospital Universitario de La Princesa, Madrid, Spain)

Chapter 8. Adhesives and Wound Protectors
(Dennis César Lévano-Linares, MD, and Patricia Sanchez-Salcedo, Department of Surgery, University Hospital Rey Juan Carlos, Mostoles, Madrid, Spain, and others)

Chapter 9. Wound Irrigation
(Gilberto González Ramírez, MD, Universidad de Guadalajara Jalisco, México, and others)

Chapter 10. Topical Intraperitoneal Irrigation
(Jaime Ruiz-Tovar, MD, PhD, and Carolina Llavero, Center of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain, and others)

Chapter 11. Prophylactic Vacuum Therapy
(Montiel Jiménez-Fuertes, General and Digestive Surgery, Rey Juan Carlos University Hospital, Madrid, Spain)

Chapter 12. Antimicrobial Sutures
(Jaime Ruiz-Tovar, MD, PhD, and Carolina Llavero, Center of Excellence for the Study and Treatment of Obesity and Diabetes, Valladolid, Spain, and others)

Chapter 13. Wound Cover: Topical Antibiotics or Antiseptics
(Helen Almeida Ponce and Pablo Royo Dachary, Department of Surgery, University of Zaragoza, Zaragoza, Spain)

Chapter 14. Bundles
(Camilo J. Castellón Pavón, MD, PhD, Sonia Morales Artero, MD, Elena Larraz Mora, MD, Jaime Ruiz-Tovar, MD, PhD, and Manuel Durán Poveda, MD, PhD, Department of General Surgery. Hospital “Rey Juan Carlos”, Mostoles, Madrid, Spain, and others)

Index

Keywords: Surgical site infection, Prophylaxis

Audience:
- Surgeons
- Anesthesiologists
- Epidemiologists
- Nurses

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