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Infection management following ambulatory surgery

Authors Chin A, Wick E

Received 10 July 2015

Accepted for publication 11 August 2015

Published 20 October 2015 Volume 2015:2 Pages 103—109

DOI https://doi.org/10.2147/AA.S64925

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Gildasio S De Oliveira Jr.


Anne B Chin, Elizabeth C Wick

Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

Abstract: Surgical site infections (SSIs) are frequent postoperative complications that are linked to measures of surgical quality and payment determinations. As surgical procedures are increasingly performed in the ambulatory setting, management of SSIs must transition with this trend. Prevention of SSIs should include optimization of patient comorbidities, aggressive infection control policies including appropriate skin decontamination, maintenance of normothermia, and appropriate antibiotic prophylaxis. Systems must also be set in place to provide adequate surveillance for identification of SSIs when they do occur as well as provide direct feedback to surgeons regarding SSI rates. This may require utilization of claims-based surveillance. Patient education and close follow-up with the clinical team are essential for early identification and management of SSIs. Therapy should remain focused on source control and appropriate antibiotic therapy.

Keywords: ambulatory surgery, SSI, infection

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