IMPLEMENTING “BUNDLED INTERVENTIONS” IN REDUCING SURGICAL SITE INFECTIONS AMONG PATIENTS UNDERGOING SURGERY FOR GYNECOLOGICAL INDICATIONS – A PROSPECTIVE STUDY

PUJA JAIN DEWAN; RASHMI PILANIA; MONIKA SINGH; ROHINI

doi:10.22159/ajpcr.2024.v17i5.50099

Authors

PUJA JAIN DEWAN Department of Obstetrics and Gynecology, Noida International Institute of Medical Sciences, Noida, Uttar Pradesh, India
RASHMI PILANIA Department of Obstetrics and Gynecology, Noida International Institute of Medical Sciences, Noida, Uttar Pradesh, India.
MONIKA SINGH Department of Obstetrics and Gynecology, Noida International Institute of Medical Sciences, Noida, Uttar Pradesh, India
ROHINI Department of Anesthesia, Noida International Institute of Medical Sciences, Noida, Uttar Pradesh, India

DOI:

https://doi.org/10.22159/ajpcr.2024.v17i5.50099

Keywords:

Surgical site infection, Care bundled intervention, Prevention of surgical site infection

Abstract

Objective: Surgical site infection (SSI) is the most common infection among surgical patients. This study evaluated the impact of bundled interventions in reducing SSI rates in gynecological surgery. Therefore, it is a vital tool to improve patient safety.

Methods: One hundred study participants were taken in the tertiary care hospital and divided into Group I and Group II. In Group I, 50 patients were involved in elective OT with bundled interventions, and in Group II, 50 controls operated in identical OT without bundled intervention. Incidence of SSI, type of SSI, antibiotic usage, need for secondary suturing, duration, etc., was noticed.

Results: Our findings showed that six out of fifty cases developed the symptoms with a 10% SSI rate. Two had superficial SSI, and three had deep SSI. None of the patients had organ space SSI. In the control group, the SSI rate was 12%. The bundled intervention was associated with a significant reduction in infection rate.

Conclusion: The study indicates that SSIs are associated with severe morbidity and mortality. It is a straightforward, feasible approach to the reduction of the SSI rate.

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References

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