February 5, 2018

NSQIP: Effect of modifications to OR attire on SSIs

By: Judy Mathias
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Editor’s Note

Implementation of stringent OR attire policies that include full coverage of ears and facial hair do not reduce surgical site infection (SSI) rates, finds this study.

Researchers compared National Surgical Quality Improvement Program (NSQIP) data from all patients having surgery 9 months before implementation (3,077) to 3,440 patients having surgery 9 months after implementation of the stringent policies.

There were more SSIs after implementation of the policies (33 vs 30), and there were no differences in length of stay, complications, or mortality.

The largest predictors of SSIs were preoperative infection, operative time > 75th percentile, open wounds, and dirty/contaminated wounds.

 

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