Table 2 SSI prevention bundle elements
Phase of care | Element |
Preoperative at home | Smoking cessation |
Preoperative at home | Diabetes optimization (check and treat HbA1c) |
Preoperative at home | Anemia optimization (folate, iron, vitamin C, Venofer) |
Preoperative at home | Chlorhexidine showers |
Preoperative at hospital | Clipping (not shaving) surgical site |
Preoperative at hospital | Chlorhexidine towelettes |
Intraoperative | Active warming to prevent hypothermia |
Intraoperative | Appropriate (selection, dose, timing) IV antibiotic within 60Â min of incision, discontinued within 24Â h |
Intraoperative | Routine use of a wound protector |
Intraoperative | Routine use alcohol-containing skin prep |
Intraoperative | Routine intra-op high-concentration supplemental oxygen |
Intraoperative | Reduce unnecessary traffic in the operating room |
Intraoperative | Routine use of separate fascial closure tray or separate anastomotic tray |
Global | Adherence to hand hygiene |
Global | Active surveillance program with education, compliance, and feedback |
Global | Optimize preoperative glucose control, Maintain blood glucose <180 through POD 2 |