SG-APSIC1092: Bundled preoperative preparation reduced surgical-site infections

Objectives: We aimed to reduce the overall surgical-site infection (SSI) rate 0.2%. Methods: A new checklist protocol was developed based on APSIC guidelines. The bundle for preoperative preparation implemented: adequate bathing, proper time of hand-forearm washing, and sufficient contact antiseptic application. compliance monitored with a weekly control chart from December 2019 November 2020. Results: In total, 9,995 cases were operated at Narasuan University Hospital (NUH) in 2020, classified by surgical wound type as follows: clean wound, 62.6%; clean-contaminated 32.1%; contaminated 0.8%; dirty 4.5%. According type, mean bathing 68.22% wounds, 68.33% 34.82% wounds. Hand hygiene higher surgeries (mean, 94.01%) 95.05%) than 88.30%). high percentage achieved 3 groups. skin group 89.05%) 90.70%) 68.12%). lower might be due constraints operations. Only 0.18% clean-wound operations had SSIs, 0.19% whereas no SSIs occurred SSI 0.17%; thus, we our goal. Conclusions: infection-prevention preparations reduced SSI. Furthermore, highly tangible positive impact both internal external stakeholders, it effective ensuring good practice regarding preparation.