Preventing infection in general surgery: improvements through education of surgeons by surgeons.

Seamus M. McHugh, Royal College of Surgeons in Ireland
Mark A. Corrigan, Royal College of Surgeons in Ireland
B D. Dimitrov, Royal College of Surgeons in Ireland
Seamus Cowman, Royal College of Surgeons in Ireland
Sean Tierney, Royal College of Surgeons in Ireland
Arnold DK Hill, Royal College of Surgeons in Ireland
Hilary Humphreys, Royal College of Surgeons in Ireland

Document Type Article

This article is also available at http://www.sciencedirect.com/science/article/pii/S0195670111001708

Abstract

Surgical patients are at particular risk of healthcare-associated infection (HCAI) due to the presence of a surgical site leading to surgical site infection (SSI), and because of the need for intravascular access resulting in catheter-related bloodstream infection (CRBSI). A two-year initiative commenced with an initial audit of surgical practice; this was used to inform the development of a targeted educational initiative by surgeons specifically for surgical trainees. Parameters assessed during the initial audit and a further audit after the educational initiative were related to intra- and postoperative aspects of the prevention of SSIs, as well as care of peripheral venous catheters (PVCs) in surgical patients. The proportion of prophylactic antibiotics administered prior to incision across 360 operations increased from 30.0% to 59.1% (P72h (10.6% vs 3.1%, P