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Reducing Surgical Site Infections Post-Caesarean Section.

Michael Magro1

  • 1Department of Obstetrics and Gynaecology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK.

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Summary

Using Leukomed Sorbact dressings after caesarean delivery significantly reduced surgical site infections (SSI) and readmission rates. This bacterial binding wound dressing also lowered antibiotic use and generated substantial cost savings.

Keywords:
Leukomed Sorbactantibiotic stewardshipcaesareansurgical site infection

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Area of Science:

  • Medical Microbiology
  • Surgical Innovation
  • Healthcare Management

Background:

  • Surgical Site Infections (SSI) are a significant complication following caesarean sections, leading to increased morbidity.
  • Leukomed Sorbact, a bacteria-binding wound dressing, is suggested to reduce SSI by limiting bacterial colonization.
  • Barking, Havering & Redbridge University Hospitals NHS Trust (BHRUT) implemented Leukomed Sorbact to evaluate its impact on SSI rates, antibiotic use, and cost-effectiveness.

Purpose of the Study:

  • To assess the effectiveness of Leukomed Sorbact dressings in reducing SSI incidence post-caesarean.
  • To evaluate the impact of the new dressing on SSI readmission rates and antibiotic consumption.
  • To determine the cost savings associated with the implementation of Leukomed Sorbact.

Main Methods:

  • A change in clinical practice involved replacing Mepore dressings with Leukomed Sorbact for all caesarean procedures from January 1st, 2022.
  • Retrospective and prospective audits were conducted to compare SSI rates before and after the dressing implementation.
  • Standardized wound care, prophylactic antibiotics, and surgical techniques were maintained to isolate the effect of the dressing.

Main Results:

  • A 38% reduction in SSI rates was observed, decreasing from 6.1% to 3.8% in the post-implementation period.
  • SSI readmission rates decreased by 31%, and antibiotic use was reduced by 30%.
  • Total cost savings over twelve months reached £234,784, with £49,750 attributed to reduced readmissions.

Conclusions:

  • Leukomed Sorbact dressings significantly improved clinical outcomes by reducing SSI and readmission rates after caesarean sections.
  • The adoption of Leukomed Sorbact proved cost-effective, considering savings from reduced bed days, antibiotic use, morbidity, and enhanced patient experience.