Pre-operative Infection Prevention “Bundle” Can Reduce Staph Surgical Site Infections, JAMA Article Says
Implementing a pre-operative infection prevention “bundle” was associated with a significant reduction in serious S. aureus surgical site infections, according to an AHRQ-funded study published in today’s Journal of the American Medical Association.
The study, led by Loreen A. Herwaldt, M.D., of the University of Iowa Carver College of Medicine, included 42,534 cardiac operations and hip and knee replacements performed in 20 Hospital Corporation of America-affiliated hospitals in nine U.S. states. The bundle included screening for S. aureus, decolonizing patients who were positive for these bacteria, and administering perioperative antibiotics according to an evidence-based protocol. Compared with serious S. aureus SSI rates seen in the pre-intervention period, rates decreased significantly among patients in the groups that fully adhered to the bundle; rates did not decrease significantly in the partially adherent or non-adherent group.
The study can be found at http://jama.jamanetwork.