Surgical Site Infection Analysis

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This essay will focus on Surgical site infections (SSIs) which is defined as “an SSI is an infection related to an operative procedure that occurs at or near the surgical incision within 30 days of the procedure” (Diaz & Newman 2015, p. 63). The reason for selecting this topic is that despite making a great effort, SSIs are still a challenging problem for medical professionals, and patients’ own microbial flora are a main cause of SSIs (Srinivas et al. 1025, p. 1379). Therefore, disinfectants for preoperative skin preparation must be selected based on evidence. In order to articulate the selected topic, the PICO framework will be used which is composed of four elements: population, intervention, comparator, and outcome (Glasziou, Del Mar & …show more content…
This question is structured by using PICO framework: the population is surgical patients undergoing clean-contaminated surgery, the intervention is preoperative skin preparation, the comparison of is povidone-iodine skin preparation, and the outcome is the reduction of SSIs. Three online databases were used as the search strategy: Wiley Online Library, MEDLINE with Full Text, and CINAHL Plus with Full Text. The key terms were “chlorhexidine” OR “povidone-iodine” AND “clean-contaminated” OR “surgical site infection*” AND “skin preparation”. The language choice was limited only English language, and the publication year from 2005 to 2016. The types of searched article were limited journal articles with full text available and excluded review articles. Total nine articles were selected, and six of them were excluded due to a literature review or the unsuitability of the PICO

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