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Use of Ozonized Water in the Prevention of Surgical Site Infection in Children Undergoing Cardiovascular Surgery
Alexandre Noboru Murakami1, Ulisses Alexandre Croti2, Bruna Cury Borim2
1Department of Cardiovascular Surgery, Serviço de Cirurgia Cardíaca do Norte do Paraná, Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil.
Insights
Implementing an ozonized water system for hand and body hygiene significantly reduced surgical site infections in pediatric cardiovascular surgery patients by 44%. This innovative approach enhanced patient safety without impacting ventilation time or mortality.
Area of Science:
- Pediatric cardiovascular surgery
- Infection control
- Healthcare-associated infections
Background:
- Healthcare-associated infections (HAIs) are a critical concern in patient care.
- Surgical site infections (SSIs) are a common type of HAI, particularly in pediatric cardiovascular surgery.
- Reducing SSIs is a key goal for improving patient outcomes.
Purpose of the Study:
- To evaluate the effectiveness of an ozonized water system in reducing SSIs in children undergoing cardiovascular surgery.
- To assess the impact of ozonized water on hand and body hygiene protocols.
- To compare SSI rates before and after the implementation of the ozonized water system.
Main Methods:
- A comparative study involving two groups of pediatric patients undergoing cardiovascular surgery.
- Group A (187 patients) operated before ozonized water system implementation (March-August 2019).
- Group B (214 patients) operated after ozonized water system implementation (October 2019-March 2020), using ozonized water for hygiene.
Main Results:
- A statistically significant reduction in SSIs was observed in Group B (P=0.0289).
- Patients in Group B had a 44% lower risk of developing SSIs compared to Group A (Relative Risk = 0.560).
- No significant differences were found in mechanical ventilation time (P=0.1998) or mortality rates (P=0.4457).
Conclusions:
- Ozonized water, used for hand and body hygiene, acts as an effective adjunct to traditional preventive measures for reducing SSI risk.
- The ozonized water system demonstrated a positive impact on SSI reduction in pediatric cardiovascular surgery.
- The system did not show a significant impact on hospital stay duration or patient mortality.
Introduction:
Since the reduction of healthcare-associated infections has been a focus for quality patient care, this study aimed to evaluate the surgical site infection rate of children who underwent cardiovascular surgery after implementation of ozonized water system for hand and body hygiene allied to previously implemented preventive measures.
Methods:
Two uniformly comparable groups of pediatric patients underwent cardiovascular surgery. Group A (187) patients were operated prior to installation of ozonized water system (March 1 to August 31, 2019), and group B (214) patients were operated after installation of ozonized water system (October 1, 2019, to March 31, 2020). Ozonized water was used for professional hand hygiene and patient body hygiene.
Results:
There was statistical significance for surgical site infection reduction in group B (P=0.0289), with a relative risk of 0.560 (95% confidence interval = 0.298 to 0.920), inferring the risk of being diagnosed with surgical site infections in group B was 44% less than in group A. There was no statistical significance regarding mechanical ventilation time (P=0.1998) or mortality (P=0.4457).
Conclusion:
Ozonized water for professional hand hygiene and patient body hygiene was an adjuvant combined with traditional preventive methods to reduce the risk of surgical site infection, although no impact on hospital stay or mortality was observed.
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