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Reduction of deep surgical site infections in cardiac surgery by introducing a multimodal infection control program
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Reduction of deep surgical site infections in cardiac surgery by introducing a multimodal infection control program
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Journal Article
Reduction of deep surgical site infections in cardiac surgery by introducing a multimodal infection control program
2015
Overview
Medical and nursing staff of all involved departments took part in developing and implementing these guidelines. Besides emphasizing the importance of existing guidelines (antiseptic shower, hair removal by clipper, strict hand hygiene, prophylactic antibiotics, limiting OR traffic, tight glycemic control (80 to 110 mg/ dl), and so on), new strategies were introduced. The most important new strategies were nasal decolonization with mupirocin twice daily 48 hours perioperatively, preoperative antiseptic skin preparation twice (chlorhexidine gluconate 0.5%), applying topical skin adhesive to the sternal wound postoperatively and in the case of CABG procedures maintaining a strict barrier between the vein harvesting procedure and the chest procedure.
