The Surgeon
Volume 8, Issue 2 , Pages 96-100 , April 2010

Preventing healthcare-associated infection through education: Have surgeons been overlooked?

  • Seamus Mark McHugh

      Affiliations

    • Department of Surgery, The Royal College of Surgeons in Ireland, Dublin 9, Ireland
    • Department of Surgery, Beaumont Hospital, Dublin 9, Ireland
    • Corresponding Author InformationCorresponding author. Department of Surgery, Beaumont Hospital, Dublin 9, Ireland. Tel.: +353 86 0766155.
    • ,
  • A.D.K. Hill

      Affiliations

    • Department of Surgery, The Royal College of Surgeons in Ireland, Dublin 9, Ireland
    • Department of Surgery, Beaumont Hospital, Dublin 9, Ireland
    • ,
  • H. Humphreys

      Affiliations

    • Department of Clinical Microbiology, The Royal College of Surgeons in Ireland, Dublin 9, Ireland
    • Department of Clinical Microbiology, Beaumont Hospital, Dublin 9, Ireland

Received 30 November 2009 ,Accepted 30 November 2009.

References 

  1. Harris S, Morgan M, Davies E. Web-based reporting of the results of the 2006 four country prevalence survey of healthcare associated infections. J Hosp Infect. 2008;69(3):258–264
  2. Sanchez-Paya J, Bischofberger C, Lizan M, Lozano J, Munoz Platon E, Navarro J, et al. Nosocomial infection surveillance and control: current situation in Spanish hospitals. J Hosp Infect. 2009;72(1):50–56
  3. Improving Patient Safety in Europe; 2004.
  4. Safdar N, Abad C. Educational interventions for prevention of healthcare-associated infection: a systematic review. Crit Care Med. 2008;36(3):933–940
  5. Kilgore ML, Ghosh K, Beavers CM, Wong DY, Hymel PA, Brossette SE. The costs of nosocomial infections. Med Care. 2008;46(1):101–104
  6. Kilgore M, Brossette S. Cost of bloodstream infections. Am J Infect Control. 2008;36(10):171–173
  7. Fung-Kee-Fung M, Watters J, Crossley C, Goubanova E, Abdulla A, Stern H, et al. Regional collaborations as a tool for quality improvements in surgery: a systematic review of the literature. Ann Surg. 2009;249(4):565–572
  8. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491–499
  9. Dellinger EP, Hausmann SM, Bratzler DW, Johnson RM, Daniel DM, Bunt KM, et al. Hospitals collaborate to decrease surgical site infections. Am J Surg. 2005;190(1):9–15
  10. van Kasteren ME, Mannien J, Kullberg BJ, de Boer AS, Nagelkerke NJ, Ridderhof M, et al. Quality improvement of surgical prophylaxis in Dutch hospitals: evaluation of a multi-site intervention by time series analysis. J Antimicrob Chemother. 2005;56(6):1094–1102
  11. Arlene F, T-DA, Rupert SD, Shiao SPK. Evidence based practice: use of the ventilator care bundle to prevent ventilator associated pneumonia. Am J Crit Care. 2007;(16):20–27
  12. Howard DP, Williams C, Sen S, Shah A, Daurka J, Bird R, et al. A simple effective clean practice protocol significantly improves hand decontamination and infection control measures in the acute surgical setting. Infection. 2009;37(1):34–38
  13. Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 1985;121(2):182–205
  14. Harbarth S, Sax H, Gastmeier P. The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect. 2003;54(4):258–266quiz 321
  15. National Institute for Health and Clinical Excellence. Surgical site infection; 2008 (Clinical guideline 74).
  16. Pratt RJ, Pellowe CM, Wilson JA, Loveday HP, Harper PJ, Jones SR, et al. epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2007;65(Suppl. 1):S1–64
  17. Goetz A. Feedback to nursing staff as an intervention to reduce catheter-associated urinary tract infections. Am J Infect Control. 1999;27(5):402–404
  18. Lange BJ, Weiman M, Feuer EJ, Jakobowski D, Bilodeau J, Stallings VA, et al. Impact of changes in catheter management on infectious complications among children with central venous catheters. Infect Control Hosp Epidemiol. 1997;18(5):326–332
  19. Rosenthal VD, Guzman S, Crnich C. Impact of an infection control program on rates of ventilator-associated pneumonia in intensive care units in 2 Argentinean hospitals. Am J Infect Control. 2006;34(2):58–63
  20. Warren DK, Zack JE, Cox MJ, Cohen MM, Fraser VJ. An educational intervention to prevent catheter-associated bloodstream infections in a nonteaching, community medical center. Crit Care Med. 2003;31(7):1959–1963
  21. Zack JE, Garrison T, Trovillion E, Clinkscale D, Coopersmith CM, Fraser VJ, et al. Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia. Crit Care Med. 2002;30(11):2407–2412
  22. Sherertz RJ, Ely EW, Westbrook DM, Gledhill KS, Streed SA, Kiger B, et al. Education of physicians-in-training can decrease the risk for vascular catheter infection. Ann Intern Med. 2000;132(8):641–648
  23. Smyth ET, McIlvenny G, Enstone JE, Emmerson AM, Humphreys H, Fitzpatrick F, et al. Four country healthcare associated infection prevalence survey 2006: overview of the results. J Hosp Infect. 2008;69(3):230–248
  24. Leaper D, Burman-Roy S, Palanca A, Cullen K, Worster D, Gautam-Aitken E, et al. Prevention and treatment of surgical site infection: summary of NICE guidance. BMJ. 2008;337:a1924
  25. Campbell DA, Henderson WG, Englesbe MJ, Hall BL, O'Reilly M, Bratzler D, et al. Surgical site infection prevention: the importance of operative duration and blood transfusion–results of the first American College of Surgeons-National Surgical Quality Improvement Program Best Practices Initiative. J Am Coll Surg. 2008;207(6):810–820
  26. Ross A, Crumpler J. The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia. Intensive Crit Care Nurs. 2007;23(3):132–136
  27. Dietrich ES, Demmler M, Schulgen G, Fekec K, Mast O, Pelz K, et al. Nosocomial pneumonia: a cost-of-illness analysis. Infection. 2002;30(2):61–67
  28. Rosenthal VD, Guzman S, Migone O, Safdar N. The attributable cost and length of hospital stay because of nosocomial pneumonia in intensive care units in 3 hospitals in Argentina: a prospective, matched analysis. Am J Infect Control. 2005;33(3):157–161
  29. Coopersmith CM, Rebmann TL, Zack JE, Ward MR, Corcoran RM, Schallom ME, et al. Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit Care Med. 2002;30(1):59–64
  30. Coopersmith CM, Zack JE, Ward MR, Sona CS, Schallom ME, Everett SJ, et al. The impact of bedside behavior on catheter-related bacteremia in the intensive care unit. Arch Surg. 2004;139(2):131–136
  31. Warren DK, Zack JE, Mayfield JL, Chen A, Prentice D, Fraser VJ, et al. The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU. Chest. 2004;126(5):1612–1618
  32. Babcock HM, Zack JE, Garrison T, Trovillion E, Jones M, Fraser VJ, et al. An educational intervention to reduce ventilator-associated pneumonia in an integrated health system: a comparison of effects. Chest. 2004;125(6):2224–2231
  33. Mody L, McNeil SA, Sun R, Bradley SE, Kauffman CA. Introduction of a waterless alcohol-based hand rub in a long-term-care facility. Infect Control Hosp Epidemiol. 2003;24(3):165–171
  34. Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE, et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med. 2004;32(10):2014–2020
  35. Nicol PW, Watkins RE, Donovan RJ, Wynaden D, Cadwallader H. The power of vivid experience in hand hygiene compliance. J Hosp Infect. 2009;72(1):36–42
  36. Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Identifying opportunities for quality improvement in surgical site infection prevention. Am J Infect Control. 2009;37(5):398–402
  37. Vilar-Compte D, Roldan-Marin R, Robles-Vidal C, Volkow P. Surgical site infection (SSI) rates among patients who underwent mastectomy after the introduction of SSI prevention policies. Infect Control Hosp Epidemiol. 2006;27(8):829–834
  38. Ichikawa S, Ishihara M, Okazaki T, Warabi K, Kato Y, Hori S, et al. Prospective study of antibiotic protocols for managing surgical site infections in children. J Pediatr Surg. 2007;42(6):1002–1007[discussion 1007]
  39. O'Brien D, Richards J, Walton KE, Phillips MG, Humphreys H. Survey of teaching/learning of healthcare-associated infections in UK and Irish medical schools. J Hosp Infect. 2009;73(2):171–175
  40. Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA. 1995;274(9):700–705
  41. Snow M, White GL, Alder SC, Stanford JB. Mentor's hand hygiene practices influence student's hand hygiene rates. Am J Infect Control. 2006;34(1):18–24
  42. Pittet D, Mourouga P, Perneger TV. Compliance with handwashing in a teaching hospital. Infection Control Program. Ann Intern Med. 1999;130(2):126–130
  43. Goetz AM, Kedzuf S, Wagener M, Muder RR. Feedback to nursing staff as an intervention to reduce catheter-associated urinary tract infections. Am J Infect Control. 1999;27(5):402–404
  44. Topal J, Conklin S, Camp K, Morris V, Balcezak T, Herbert P. Prevention of nosocomial catheter-associated urinary tract infections through computerized feedback to physicians and a nurse-directed protocol. Am J Med Qual. 2005;20(3):121–126
  45. Warren DK, Cosgrove SE, Diekema DJ, Zuccotti G, Climo MW, Bolon MK, et al. A multicenter intervention to prevent catheter-associated bloodstream infections. Infect Control Hosp Epidemiol. 2006;27(7):662–669
  46. Thorens JB, Kaelin RM, Jolliet P, Chevrolet JC. Influence of the quality of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease. Crit Care Med. 1995;23(11):1807–1815
  47. Fridkin SK, Pear SM, Williamson TH, Galgiani JN, Jarvis WR. The role of understaffing in central venous catheter-associated bloodstream infections. Infect Control Hosp Epidemiol. 1996;17(3):150–158
  48. Archibald LK, Manning ML, Bell LM, Banerjee S, Jarvis WR. Patient density, nurse-to-patient ratio and nosocomial infection risk in a pediatric cardiac intensive care unit. Pediatr Infect Dis J. 1997;16(11):1045–1048
  49. Mishriki SF, Law DJ, Johnson MG. Surgical audit: variations in wound infection rates of individual surgeons. J R Coll Surg Edinb. 1991;36(4):251–253
  50. Mishriki SF, Law DJ, Jeffery PJ. Factors affecting the incidence of postoperative wound infection. J Hosp Infect. 1990;16(3):223–230
  51. Cruse PJ, Foord R. The epidemiology of wound infection. A 10-year prospective study of 62,939 wounds. Surg Clin North Am. 1980;60(1):27–40

PII: S1479-666X(09)00050-X

doi: 10.1016/j.surge.2009.11.009

The Surgeon
Volume 8, Issue 2 , Pages 96-100 , April 2010

Article Tools