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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
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Patients' experiences and compliance with preoperative screening and decolonization
Ethan Wilson1, Alexandre R Marra2, Melissa Ward3
1University of Iowa College of Public Health, Department of Epidemiology, Iowa City, IA, USA.
American Journal of Infection Control
|March 27, 2022
Summary
Patient experiences with Staphylococcus aureus decolonization protocols vary. Tailoring preoperative education and prophylaxis to individual patient needs can improve adherence and surgical site infection prevention.
Area of Science:
- Infectious Disease
- Surgical Patient Care
- Healthcare Quality Improvement
Background:
- Improving adherence to pre-surgical screening for Staphylococcus aureus nasal carriage and decolonization is crucial.
- Limited understanding exists regarding patient experiences with these protocols.
Purpose of the Study:
- To assess patient experiences with decolonization protocols.
- To identify factors influencing adherence and patient satisfaction.
Main Methods:
- Surveyed 534 patients undergoing orthopedic, neurosurgical, or cardiac surgery.
- Data collected from Johns Hopkins Hospitals, University of Iowa Hospitals and Clinics, and MercyOne Northeast Iowa Neurosurgery.
Main Results:
- Patients at JHH reported higher mupirocin use and better information on SSI prevention compared to UIHC.
- JHH patients were less worried about SSI and more willing to prevent it.
- Few patients reported barriers or side effects from mupirocin or chlorhexidine.
Conclusions:
- Patient concerns about surgical site infection (SSI) and willingness to prevent it vary.
- Lack of major side effects or adherence barriers reported.
- Personalized preoperative processes, education, and prophylaxis are recommended to enhance patient adherence.
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