Today is world sepsis day, the Center for Disease Control (CDC) urges healthcare professionals to recognize and educate patients and their families about the early signs and symptoms of worsening infection and sepsis.
Sepsis is a Global health crisis, affecting up to 30 000 000 people a year. Maternal Sepsis is one of the five-leading cause of death during pregnancy. Early recognition and prompt treatment of maternal sepsis is necessary to improve patient outcomes.
Sepsis is a Global health crisis, affecting up to 30 000 000 people a year. Maternal Sepsis is one of the five-leading cause of death during pregnancy. Early recognition and prompt treatment of maternal sepsis is necessary to improve patient outcomes.
ACOG has recently issued guidance on prevention of surgical-site infection in gynecologic surgery. The practice bulletin includes guidelines about pre-operative and intraoperative prophylaxis, procedure-based antibiotic regimen, guidelines for patients with a history of Methicillin-resistant Staphylococcus aureus (MRSA) colonization, and penicillin allergy.
Find the guidelines here. Some other articles about preventing surgical site wound infection in obstetrics and gynecological surgeries are:
Chlorhexidine-Alcohol is not superior to Povidone-Iodine in reducing the rate of surgical site infection in Cesarean section reports the results of Chlorhexidine-Alcohol Versus Povidone-Iodine for Cesarean Antisepsis (CAPICA) Trial published ahead of print in American Journal of Obstetrics and Gynecology.
Results of a randomized controlled trial presented at the ACOG 2017 showed that changing the outer gloves before closing the abdomen decreases the wound complication of infection, cellulitis, and dehiscence.
Preincisional extended antibiotic prophylaxis does not prevent the occurrence of maternal infections that significantly contributes to increased maternal morbidity in cesarean sections.
Maternal BMI, rupture of membranes to delivery interval, race and duration of surgery are important contributing factors towards maternal infection even after prophylactic antibiotics were given according to a study published online ahead of print in Journal of obstetrics and gynecology.
Prescient Surgical got the green signal from FDA’s Center for Devices & Radiological health for de novo clearance of its CleanCision wound retraction and protection system. The clearance could not have come at a better time because "Hospitals are increasingly focusing on infection control to improve patient care as a primary goal. Prescient's success with the CleanCision device bodes well for providers driven towards the 'triple aim' of quality of care, patient satisfaction, and reduced costs," says Brant Heise, Managing Director at Summation Health Ventures.
Use of poliglecaprone 25 (Monocryl) subcutaneous suture for abdominal wound closure in Cesarean Section reduces the wound complication rate by nearly 50 % as compared to use of polyglactin 910 (coated Vicryl) according to a study that will be presented at the 37th annual meeting of Society for Maternal-Fetal Medicine , January 23-28 , Las Vegas.
A simple and inexpensive intervention of vaginal cleaning with an antiseptic solution before cesarean delivery brings down the rate of endometritis note the results of a Systematic Review and Meta-analysis published August 4 in Journal of Obstetrics and Gynecology.
VIDEO: “WHAT IS SEPSIS? (SEPSIS EXPLAINED IN 3 MINUTES)”
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