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Published on: June 23, 2020
Surgical site infection: the host factor
1Michael Pine and Associates, Chicago, IL, USA.
Abstract:
More than 30 million surgical procedures are performed annually in the United States, and surgical site infections (SSIs) remain a major postoperative complication. Although bacteria contaminate all surgical wounds, not all wounds become infected. In most cases, the host response eradicates the microbes. The patient's (ie, host's) responsiveness, therefore, is an important variable in the equation of factors that influence the rate of infection. Optimizing the patient's physiological condition can help prevent SSIs. Initiatives that show promise in reducing SSI rates include use of supplemental oxygen, maintenance of core body temperature, and rigorous management of blood sugar. Perioperative nurses play an important role as the patient's infection control advocate.
Insights
Surgical site infections (SSIs) are common complications. Optimizing patient health, including oxygen levels, body temperature, and blood sugar, can significantly reduce infection risk and improve surgical outcomes.
Area of Science:
- Surgical site infections
- Infection control
- Patient physiology
Background:
- Surgical site infections (SSIs) are a significant postoperative complication, affecting millions of patients annually.
- While surgical wounds are often contaminated with bacteria, infection development depends on the host's immune response.
- The patient's physiological state is a critical factor influencing SSI rates.
Purpose of the Study:
- To highlight the importance of host response in preventing surgical site infections.
- To identify key physiological factors that can be optimized to reduce SSI risk.
- To emphasize the role of perioperative nurses in infection control.
Main Methods:
- Review of factors influencing surgical wound infection.
- Identification of patient-centered interventions to mitigate SSI risk.
- Discussion of the perioperative nurse's role in infection prevention.
Main Results:
- Optimizing patient physiological condition is crucial for preventing SSIs.
- Key interventions include supplemental oxygen, maintaining core body temperature, and managing blood glucose levels.
- Proactive infection control by perioperative nurses is vital.
Conclusions:
- Enhancing the host's physiological condition is a primary strategy for reducing surgical site infections.
- Multifaceted approaches focusing on patient optimization and nursing advocacy are essential for SSI prevention.
- Effective management of patient factors can decrease the incidence of postoperative complications.
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