Reduction of Surgical Site Infections in Colorectal Surgery
Conditions
Keywords
colorectal surgery, bundle of care, surgical site infection
Brief summary
This study aims to evaluate whether the colorectal bundle designed and implemented at Cantonal Hospital Lucerne, will lead to a significant reduction of SSIs. The impact of potential risk factors for SSIs will additionally be evaluated.
Detailed description
Surgical site infections (SSIs) remain a relevant problem in colorectal surgery. The aim of this study is to implement a bundle of care in order to reduce SSIs in colorectal surgery. All patients undergoing colorectal surgery between October 2018 and September 2021 will be included in a prospective observational study. Since our colorectal bundle has been established gradually, patients will be grouped in a pre-implementation (2018-2019), implementation (2019-2020) and post implementation phase (2020-2021), in order to assess the effectiveness of the actions undertaken. Primary endpoint of this study will be surgical site infection (SSI) rate, while secondary endpoints encompass potential risk factors for SSIs. We assume that obesity, age, diabetes, alcoholism and smoking may lead to a higher risk for SSIs.
Interventions
BEHAVIORALBundle of Care
Hair removal with Clipper Glucose Control Preoperative antibiotics Repeat antibiotics after 4 Hours Optimize Body temperature Instrument change for colorectal anastomosis Use of wound protectors Experienced surgeon Preoperative showering
Sponsors
Luzerner Kantonsspital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
over 18 elective or emergency colorectal surgery written informed consent
Exclusion criteria
pregnant no informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical Site infection | 30 days | rate of SSIs and classification of SSIs (superficial SSI, deep SSI or organ space SSI) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors for SSI | at surgery | Determination of the risk factors for SSI (Obesity, age, diabetes, alcoholism, immune-deficit illnesses (such as HIV and Hepatitis), smoking, immunosuppressive drugs, chemotherapy, radiotherapy, COPD, pAVK, renal insufficiency and poor Nutrition) |
Countries
Switzerland
Contacts
Primary ContactJörn-Markus Gass
Outcome results
None listed