(精选)Surgical site infection教学课件.pptVIP

Surgical site infection Implementing NICE guidance 2008 NICE clinical guideline 74 Updated guidance This guideline updates and replaces ‘Guidance on the use of debriding agents and specialist wound care clinics for difficult to heal surgical wounds’ (NICE technology appraisal guidance 24 [published April 2001]). What this presentation covers Background Scope Key priorities for implementation Costs and savings Discussion Find out more Background Surgical site infections (SSI): Are largely preventable Can have a significant effect on quality of life for the patient Result in a considerable financial burden to healthcare providers Compose up to 20% of all healthcare-associated infections Develop in at least 5% of patients having surgery Scope The guideline covers all patients, both adults and children, having surgical incisions through the skin The guideline covers both acute hospital trusts and primary healthcare settings Key priorities for implementation Information for patients and carers Preoperative phase Intraoperative phase Postoperative phase Information for patients and carers  Offer patients and carers clear, consistent information and advice throughout all stages of their care Preoperative phase (hair removal) Do not use hair removal routinely Do not use razors for hair removal, because they increase the risk of surgical site infection If hair has to be removed, use electric clippers with a single-use head on the day of surgery Costs and savings The guideline on surgical site infection is unlikely to have a significant national resource impact in the NHS Recommendations that may have local resource impact are: Information for patients Hair removal Wound dressings Optimising blood glucose levels Maintaining patient homeostasis For discussion What information about surgical site infection is given to patients and carers? When and how is it given? What structures and processes are there in place to ensure best practice in the care of