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Do not overlook the risk of patient colonization by multi-resistant microorganisms

Do not overlook the risk of patient colonization by multi-resistant microorganisms

by Valeria Confalonieri | Aug 2, 2022

Surgical site infections (SSIs) are increasingly sustained by microorganisms resistant to several antibiotics, particularly methicillin-resistant S. aureus (MRSA) and extended-spectrum beta-lactamase- producing Enterobacteria (ESBLs). In the patient undergoing...
Do not overlook the risk of patient colonization by multi-resistant microorganisms

Do not administer antibiotic for peri-operative prophylaxis before 60 minutes prior to surgical incision and do not continue it postoperatively unless specifically indicated

by Valeria Confalonieri | Aug 2, 2022

Administration of peri-operative antibiotics within 60 minutes after the start of surgery, and particularly after skin incision, appears to ensure adequate drug concentration in the serum and tissues at the site of surgery so as to reduce the risk of postoperative...
Do not overlook the risk of patient colonization by multi-resistant microorganisms

Do not perform peri-operative antibiotic prophylaxis when it is not necessary

by Valeria Confalonieri | Aug 2, 2022

The choice of administering peri-operative antibiotics depends on the type of surgery, the related infectious risk, and the patient’s underlying condition. The goal of proper peri-operative antibiotic prophylaxis is on the one hand to prevent morbidity and...
Do not overlook the risk of patient colonization by multi-resistant microorganisms

Do not neglect careful disinfection of the baby’s skin with alcohol-based antiseptic solutions and that of the newborn with chlorhexidine or iodophore before any surgical procedure

by Valeria Confalonieri | Aug 2, 2022

Preoperative preparation of the surgical infant and child includes disinfection of intact skin, which should be performed immediately before surgery within the operating room. Skin disinfection and preparation play an important role in the prevention of surgical site...
Do not overlook the risk of patient colonization by multi-resistant microorganisms

Do not substitute careful hand hygiene for just wearing gloves. (Green recommendation)

by Valeria Confalonieri | Aug 2, 2022

In neonatal and pediatric settings, surgical site infections (SSIs) occur in 2-10% of surgical procedures and are associated with prolonged hospitalization, increased mortality, and increased costs to the health care system. Most SSIs are acquired in the operating...
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