11488

Prevention of Surgical Site Infections: A Systematic Review

Article

Last updated: 03 Jan 2025

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Abstract

Introduction: The preoperative interventions used for prevention of SSIs have different effectiveness in the reduction of SSIs and subsequent surgical complications. This review aiming at evaluating the effectiveness of various methods of prevention for SSIs. Methods: The systematic search was conducted in Medline and Embase databases. This search identified 990 relevant studies using filters of human studies and 10 years since publishing. After exclusion of irrelevant, duplicated, and reviews the remaining is 55 potentially relevant studies. Results: The vast majority of studies were done in intra-abdominal procedures which were infection rate varied from 0% to 38.4%. The rate of SSIs was higher than 25% in two studies used cephalexine as prophylaxis, mohs micrographic surgery and assessed SSIs in perforated peptic ulcer. Intra-operative warming used in only one study which reported SSIs rate of 18%. In case of using a combination of oxygen and antibiotics the SSIs rate ranged from 7.9% to 38.4%. The lowest rate of SSIs was noted when antiseptic, and amoxicillin were used together 0% and it was only 0.009% when cefazolin was used. Conclusions: The wide difference in infection rates among included studies may be patient-related and procedure-dependent.

DOI

10.12816/0043100

Authors

First Name

Abdulaziz Jubran A

Last Name

Arishi

MiddleName

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Affiliation

Faculty of Medicine, Jazan University

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Orcid

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First Name

Mohammed Ahmed H

Last Name

Ageeli

MiddleName

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Affiliation

Faculty of Medicine, Jazan University

Email

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City

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Orcid

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First Name

Saud Mohammed M

Last Name

Al Khayra

MiddleName

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Affiliation

Faculty of Medicine, Jazan University

Email

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City

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Orcid

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First Name

Lujain Abdu H

Last Name

Alamodi

MiddleName

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Affiliation

Faculty of Medicine, Jazan University

Email

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City

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Orcid

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First Name

Othman Ahmed

Last Name

Hakami

MiddleName

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Affiliation

Faculty of Medicine, Jazan University

Email

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City

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Orcid

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First Name

Majid Mosa Muhsin

Last Name

Maeshi

MiddleName

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Affiliation

Faculty of Medicine, Jazan University

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Orcid

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Volume

70

Article Issue

2

Related Issue

2143

Issue Date

2018-01-01

Receive Date

2018-08-23

Publish Date

2018-01-01

Page Start

333

Page End

341

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11488.html

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https://ejhm.journals.ekb.eg/service?article_code=11488

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25

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Prevention of Surgical Site Infections: A Systematic Review

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Article

Created At

22 Jan 2023