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A standardized perioperative surgical site infection care process among children with stoma closure: a before-after

Juan Porras-Hernandez1, Eduardo Bracho-Blanchet, Jose Tovilla-Mercado

  • 1Departamento de Cirugia General, Hospital Infantil de Mexico Federico Gomez, Dr. Marquez 162, Colonia Doctores, Mexico City, Mexico. juandporras@yahoo.com.mx

World Journal of Surgery
|May 30, 2008
PubMed

Insights

Implementing a standardized perioperative care process significantly reduced surgical site infection (SSI) rates by threefold in pediatric patients undergoing stoma closure. This improvement highlights the effectiveness of standardized protocols in pediatric surgery outcomes.

Area of Science:

  • Pediatric Surgery
  • Infection Control
  • Healthcare Quality Improvement

Background:

  • Surgical site infections (SSI) pose a significant risk in pediatric surgery.
  • Stoma closure procedures in children require meticulous perioperative care.
  • Tertiary-care hospitals face challenges in managing infection rates.

Purpose of the Study:

  • To evaluate the effectiveness of a standardized perioperative care process.
  • To assess the impact of this process on SSI rates in pediatric stoma closure.
  • To identify risk factors associated with SSI in this patient population.

Main Methods:

  • A before-and-after study design was employed.
  • Consecutive pediatric patients undergoing stoma closure were prospectively followed for 30 days.
  • Data on SSI rates were collected before and after the implementation of standardized care.

Main Results:

  • SSI rates decreased from 42.8% to 13.9% after standardization (p = 0.006).
  • Peristomal skin inflammation and intraoperative complications were significant risk factors for SSI.
  • The standardized care period was a protective factor against SSI (OR = 0.2, p = 0.04).

Conclusions:

  • Standardized perioperative care effectively reduced SSI rates threefold in pediatric stoma closure.
  • The implementation of standardized protocols can rapidly improve surgical outcomes.
  • Targeting risk factors like skin inflammation is crucial for infection prevention.
Abstract

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