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 |
Keywords
- Global surgery
- Infection
- Outcomes
- Patient safety
- Pediatric
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery