Browsing by Author "Cunha, Tiago"
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- Interventions for surgical site infection prevention care bundles in the intraoperative colorectal surgery - a literature reviewPublication . Cunha, Tiago; Maciel, João; Miguel, Susana; Zagalo, Carlos; Alves, Paulo Jorge
- Rastreios de MRSA e enterobactereáceas resistentes aos carbapenemos: estudo observacional retrospetivoPublication . Cunha, Tiago; Videira, Z.; Tiza, E.; Miguel, S.; Zagalo, C.; Alves, P.
- Surgical site infection prevention care bundles in colorectal surgery: a scoping reviewPublication . Cunha, Tiago; Miguel, Susana; Maciel, João; Zagalo, Carlos; Alves, PauloBackground: Surgical site infection preventions bundles have been used to reduce infection rate in most types of surgery. In colorectal surgery they have been used with success as well, with tailored care bundles designed for that purpose. Aim: To identify and review the individual interventions that constitute each infection prevention care bundle in colorectal surgery, and the surgical site infection rate reduction related to their implementation. Methods: A scoping review was conducted in PUBMED, CINAHL; Web of Science Core Collection and Scopus databases, during December 2022. Results: This review analysed 48 of 164 identified studies on surgical site infection (SSI) prevention in colorectal surgery from 2011 to 2022. It revealed an average of 11 interventions per study, primarily in preoperative (mechanical bowel preparation, oral antibiotic bowel decontamination, hair removal, CHG showers, normoglycemia), intraoperative (antibiotic prophylaxis, normothermia, CHG skin preparation, antibiotic prophylaxis re-dosing, gown/glove change), and postoperative phases (normothermia, normoglycemia, dressing removal, oxygen optimization, incision cleansing). Despite these interventions, SSI rates remain high, indicating a need for further research to optimize intervention bundles and improve compliance across surgical stages.Conclusions: The implementation of Surgical Site Infection prevention bundles, tailored to Colorectal surgery, have shown a reduction in surgical site infection rates and costs. Grouping intervention according to the perioperative phase, may contribute to increased compliance rates.
- Surgical site infections in colorectal surgery and generic prevention bundlesPublication . Cunha, Tiago; Maciel, João; Miguel, Susana; Zagalo, Carlos; Alves, Paulo
- Surgical site infections in colorectal surgery: a Portuguese perspectivePublication . Cunha, Tiago; Maciel, João; Miguel, Susana; Zagalo, Carlos; Alves, Paulo Jorge Pereira
- Surgical site infections in colorectal surgery: a portuguese prespectivePublication . Cunha, Tiago; Maciel, João; Miguel, Susana; Ribeiro, Carlos; Alves, PauloBackground Surgical Site Infections are amongst the most frequent complications in colorectal surgery and are associated with increased healthcare and socioeconomical costs. Methods A retrospective study was undertaken from colorectal surgeries performed between 2011 and 2020. An analysis of annual surgical site infection rates, as well of types of infection was performed. Data of compliance to the Portuguese surgical site infection prevention bundle was collected and analyzed from 2019 and 2020. Results 2345 colorectal surgeries were studied in accordance with HELICS/HAI-Net SSI protocols. Surgical site infection rates varied between 26.35% (2013) and 34.10% (2019), with an average of 30.06%. Overall the most prevalent microorganisms were Escherichia coli (23.79%) e Enterococcus faecalis (21.37%). By infection type the most frequent micoorganisms were Enterococcus faecalis (27.47%) in superfcial, Escherichia coli (25.92%) in deep incisional and Escherichia coli (26.21%) in organ/space surgical site infections. Regarding the compliance rate to Portuguese surgical site infection prevention bundle, results were underwhelming, but it was noted that glycemic control (84.9%) and hair removal avoidance (74.5%) were the individual interventions with better observance. Conclusion Surgical site infection rates in colorectal surgery are still high despite the use of prevention bundles. Targeted bundles may be the answer