NRS 433V Week 1 Literature Search: Prevention of Surgical Site Infection
Details:
Conduct a literature search to locate research articles focused on a practice problem of interest. This literature search should include both quantitative and qualitative peer research articles to support your practice problem or issue of interest in 350-750 words.
Identify six peer research articles which will be utilized through the next 5 weeks as reference sources. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.
Suggestions for locating qualitative and quantitative research articles from credible sources:
Use a library database such as CINAHL Complete for your search.
Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.
To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine that research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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Prevention of Surgical Site Infection
Introduction
Surgical site infections (SSI) are a common occurrence in the operating room. They can lead to serious health problems for patients and can require additional hospitalization and even preventative antibiotics. In this article, we will discuss ways you can prevent SSIs by using proper patient history and pre-operative skin preparation as well as other surgical procedures that could lead to SSI.
Patient History
The patient history is important for several reasons. First, a history of diabetes, smoking, alcohol use, and drug use can affect a patient’s risk for developing surgical site infections. Also important is recent illness (such as surgery), trauma or hospitalization; recent antibiotic use; and/or cancer history. Lastly, you should know if your patient has chronic lung disease or heart disease
Antibiotics
Antibiotics are used to prevent surgical site infections (SSIs). They should be given before the skin is broken, and for at least 24 hours after surgery. Antibiotics may also be used in patients who have a high risk of developing an SSI, such as those with diabetes or cancer.
It’s important to note that antibiotics aren’t always effective at preventing SSIs—and if they do work, they’re likely only temporary. For example:
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If a surgeon misses a small cut during surgery and leaves it open for too long before stitching it up again—even if you’re given antibiotics beforehand—you’ll still be exposed to bacteria in your body even though there isn’t any visible sign of infection yet! This means that even though antibiotics might mask some signs of infection initially (like increased temperature), they won’t stop something from becoming serious later on down the line when all systems go into overdrive trying desperately not only survive but thrive against everyone else’s attempts at killing them off.”
Pre-operative skin preparation
Pre-operative skin preparation is a critical step that must be taken before surgery. The area to be operated on should be cleansed and dried, with the addition of antiseptic agents such as soap or chlorhexidine solution. Antibiotic skin preparations are also used in order to prevent infection after surgery by preventing bacteria from growing on the incision site.
The dressing should be changed every 24 hours or sooner if there is any sign of infection such as redness or swelling around it; this can indicate that bacteria have grown under your bandage and may cause you some discomfort during recovery time afterwards! This process should continue until all traces of scabbing have disappeared from both sides (usually within 2 weeks).
In addition to these two main methods used for preventing surgical site infections after surgery:
Surgical procedures
Surgical procedures are a common part of the healthcare system and can be performed by any type of doctor, including anesthesiologists. To prevent surgical site infections (SSIs), there are several things you can do:
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Wash your hands with soap and water before and after each procedure or use antimicrobial hand gels.
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Don’t eat or drink before surgery unless instructed to do so by your doctor; this includes liquids like soda pop! If you have to drink something after surgery, ask for lactose-free milk or juice instead of regular milk because it has less bacteria than regular milk does—and remember that even something like cough syrup could contain bacteria if it’s not safe enough for human consumption!
Postoperative care
Postoperative care is the most important aspect of preventing surgical site infections. To keep your patient healthy and avoid complications, a variety of steps must be taken after surgery.
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Patients should be monitored for signs of infection at all times. If you notice any redness or swelling around the incision site, contact your doctor immediately so that they can examine it and decide on how best to treat it.
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Encourage mobilization as soon as possible following surgery—this will help reduce fluid accumulation in tissues around the wound, which is associated with increased risk for infection. Additionally, if there are other injuries (such as broken bones) that need treatment before moving around freely again, this may impact healing time significantly enough warrant delaying some physical therapy sessions until later stages when patients are able to bear more weight on their limbs without causing further damage than necessary.* Provide detailed instructions regarding what symptoms warrant contacting them about infections: rashes; pain; fever; chills/nausea/vomiting; tenderness around where stitches have been placed onto skin surfaces such as wrists/wrists etcetera
Takeaway:
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Pre-operative:
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Pre-operative precautions include taking antibiotics, getting a warm bath and showering, changing your bandage and using sterile water to wash your hands.
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Post-operative:
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You should wait at least six hours before removing any dressing on the wound.
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Do not use soap or shampoo on the wound area until it has healed completely.
Conclusion
To prevent surgical site infection, we need to take many measures. We can take antibiotics before surgery, use anti-bacterial creams and ointments, do preoperative skin preparation and avoid antibiotics during surgery.
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