Table 9 Strong recommendations from CDC regarding prevention of SSI
From: Nosocomial Infections and Ventilator-Associated Pneumonia in Cancer Patients
Bath with water and soap on the night prior to surgery |
Administer AMP ONLY IF indicated, and AMP to be administered in the correct time and correct dose such that optimal bactericidal concentration of the agents is established in the serum and tissues when the incision is made |
Administer AMP for all caesarean section procedures |
Use an alcohol-based antiseptic agent for surgical site preparation unless otherwise specified |
Avoid application of all antimicrobial agents including ointments, solutions, or powders to the surgical incision |
Use of antibiotic (triclosan)-coated sutures |
Strict glycemic control in the perioperative period with target blood glucose levels less than 200 mg/dL in all patients irrespective of diabetic status |
Maintain perioperative normothermia |
Optimize tissue oxygenation by maintaining normothermia and euvolumia |
Provide an increased Fio2 during surgery and in the immediate postoperative period after extubation |
Transfuse blood and blood products as per transfusion thresholds |
Avoid additional AMP after closure of the surgical incision in the operating room |