Alicante Regional Hospital

Alicante, Spain

Citation

Fernandez-Prada et al. Evaluation of the Bundle “Zero Surgical Site Infection” to Prevent Surgical Site Infection in Vascular Surgery. Annals of Vascular Surgery. 2017;41:160-168.

Results: Open and Endovascular Elective Durgery

Pre-Bundle Post-Bundle
Surgical Wound Infection: 4.9% Surgical Wound Infection: 0%

Results: Lower Limb Amputation (Contaminated Surgery)

Pre-Bundle Post-Bundle
Surgical Wound Infection: 33.3% Surgical Wound Infection: 13.9%

SSI Prevention Bundle for Vascular Surgery

Preoperative
Skin Prep

Body hair removal by clipping

Chlorhexidine Wash

2% CHG using impregnated polyester cloths or 4% CHG soap

Intraoperative
Antibiotic Prophylaxis

Administration within 60 min before incision with appropriate redosing.

Normothermia

Core temperature > 36°C; room temperature 22°C-26°C

Normoglycemia

Glycemia <200 mg/dL

Antiseptic Preparation

Preparation of the surgical field with alcoholic chlorhexidine 2%

Postoperative
Normoglycemia

Glycemia <200 mg/dL within 24 hr postoperatively