Abstract
Purpose: In resource-limited settings, up to two-thirds of surgical patients develop surgical site infections (SSIs). Our aim was to implement a multimodal protocol including an occlusive dressing and parental engagement to achieve low SSI rates in patients undergoing elective ambulatory pediatric surgery at a tertiary center in Haiti. Methods: An observational retrospective review of pediatric patients who underwent elective ambulatory procedures from August 2015 to May 2016 following the implementation of a multimodal protocol consisting of: washing and prepping the operative site with chlorhexidine; review of the surgical safety checklist; one dose of cefazolin before incision; after wound closure application of steri strips, gauze, and tegaderm; and with parental engagement maintenance of the dressing until the follow-up visit. Results: We performed 119 procedures in 99 patients. Mean age was 6.2 years. The most common procedure was inguinal hernia repair (66%); 89% of parents returned to clinic with their children for the follow-up visit, which occurred on average on day 7.6 (range 3–40 days). The SSI rate was 1% (CI 0.00–0.03). Conclusion: Implementing a multimodal protocol including an occlusive dressing and parental engagement led to a 1% SSI rate in a resource-constrained setting.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 891-895 |
| Number of pages | 5 |
| Journal | Pediatric Surgery International |
| Volume | 34 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 1 2018 |
| Externally published | Yes |
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Keywords
- Global surgery
- Infection
- Outcomes
- Patient safety
- Pediatric
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery
Cite this
A multi-model intervention including an occlusive dressing and parental engagement to prevent pediatric surgical site infections for elective ambulatory procedures in a resource-constrained setting : an observational retrospective study from a tertiary center in Central Haiti. / Kaseje, Neema; Pinard, Jacquemine; Louis, Willy Fils Jean; MacLee, Jean Louis; Jeudy, Andre Patrick; Ford, Henri.
In: Pediatric Surgery International, Vol. 34, No. 8, 01.08.2018, p. 891-895.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A multi-model intervention including an occlusive dressing and parental engagement to prevent pediatric surgical site infections for elective ambulatory procedures in a resource-constrained setting
T2 - an observational retrospective study from a tertiary center in Central Haiti
AU - Kaseje, Neema
AU - Pinard, Jacquemine
AU - Louis, Willy Fils Jean
AU - MacLee, Jean Louis
AU - Jeudy, Andre Patrick
AU - Ford, Henri
PY - 2018/8/1
Y1 - 2018/8/1
N2 - Purpose: In resource-limited settings, up to two-thirds of surgical patients develop surgical site infections (SSIs). Our aim was to implement a multimodal protocol including an occlusive dressing and parental engagement to achieve low SSI rates in patients undergoing elective ambulatory pediatric surgery at a tertiary center in Haiti. Methods: An observational retrospective review of pediatric patients who underwent elective ambulatory procedures from August 2015 to May 2016 following the implementation of a multimodal protocol consisting of: washing and prepping the operative site with chlorhexidine; review of the surgical safety checklist; one dose of cefazolin before incision; after wound closure application of steri strips, gauze, and tegaderm; and with parental engagement maintenance of the dressing until the follow-up visit. Results: We performed 119 procedures in 99 patients. Mean age was 6.2 years. The most common procedure was inguinal hernia repair (66%); 89% of parents returned to clinic with their children for the follow-up visit, which occurred on average on day 7.6 (range 3–40 days). The SSI rate was 1% (CI 0.00–0.03). Conclusion: Implementing a multimodal protocol including an occlusive dressing and parental engagement led to a 1% SSI rate in a resource-constrained setting.
AB - Purpose: In resource-limited settings, up to two-thirds of surgical patients develop surgical site infections (SSIs). Our aim was to implement a multimodal protocol including an occlusive dressing and parental engagement to achieve low SSI rates in patients undergoing elective ambulatory pediatric surgery at a tertiary center in Haiti. Methods: An observational retrospective review of pediatric patients who underwent elective ambulatory procedures from August 2015 to May 2016 following the implementation of a multimodal protocol consisting of: washing and prepping the operative site with chlorhexidine; review of the surgical safety checklist; one dose of cefazolin before incision; after wound closure application of steri strips, gauze, and tegaderm; and with parental engagement maintenance of the dressing until the follow-up visit. Results: We performed 119 procedures in 99 patients. Mean age was 6.2 years. The most common procedure was inguinal hernia repair (66%); 89% of parents returned to clinic with their children for the follow-up visit, which occurred on average on day 7.6 (range 3–40 days). The SSI rate was 1% (CI 0.00–0.03). Conclusion: Implementing a multimodal protocol including an occlusive dressing and parental engagement led to a 1% SSI rate in a resource-constrained setting.
KW - Global surgery
KW - Infection
KW - Outcomes
KW - Patient safety
KW - Pediatric
UR - http://www.scopus.com/inward/record.url?scp=85049589137&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049589137&partnerID=8YFLogxK
U2 - 10.1007/s00383-018-4302-9
DO - 10.1007/s00383-018-4302-9
M3 - Article
C2 - 29968096
AN - SCOPUS:85049589137
VL - 34
SP - 891
EP - 895
JO - Pediatric Surgery International
JF - Pediatric Surgery International
SN - 0179-0358
IS - 8
ER -