Clinical and Economic Case for Pre-op Skin Prepping

1
(No Transcript)
2
Postoperative SSIs

• Magnitude of Problem
• Despite advances in infection control practices,
  SSIs remain a substantial cause of morbidity and
  mortality among hospitalized patients. This may
  partially be explained by the emergence of
  antimicrobial-resistant pathogens and the
  increased numbers of surgical patients who are
  elderly and/or have a wide variety of chronic,
  debilitating, or immunocompromising underlying
  diseases.

Mangram AJ, et al., Guideline for prevention of
surgical site infection, 1999. Centers for
Disease Control and Prevention, Hospital
Infection Control Practices Advisory Committee,
Atlanta GA
3
Postoperative SSIs

• Magnitude of Problem
• Approximately 60 million surgical procedures
  performed per year in the U.S.1,2
• 2.6 to 5 of surgical procedures result in
  surgical site infections (SSIs) 3,4
• At least 1.5 million SSIs per year in the U.S.5

• 1. DeFrances CJ, Hall MJ, Podgornik MN, 2003
  National hospital discharge survey. CDC, National
  Center for Health Statistics, Advance Data from
  Vital and Health Statistics. No. 3598 July
  200514.
• 2. Hall MJ, Lawrence L, Ambulatory surgery in the
  United States, 1996. CDC, National Center for
  Health Statistics, Advance Data from Vital and
  Health Statistics. No. 30012 Aug 19987.
• 3. Mangram AJ, et al., Guideline for prevention
  of surgical site infection, 1999. Centers for
  Disease Control and Prevention, Hospital
  Infection Control Practices Advisory Committee,
  Atlanta GA.
• 4. Institute for Healthcare Improvement (IHI),
  Topics patient safety surgical site infections
  case for improvement. (accessed 16 Jan 2006 at
  http//www.ihi.org).
• 5. Figure calculated by multiplying SSI rate from
  ref. 3 by surgical procedure numbers from ref.
  1 and 2.

4
Surgical Site Infections

• The leading hospital-acquired infection for
  surgicalpatients (38)1
• The third most common hospital-acquiredinfection
  overall 1
• Patients who develop are twice as likely to die
  and 60 more likely to spend time in the ICU 2
• Increase hospital length of stay by 7 to 10 days
  1
• Account for more than 25,000 increase
  inhospital costs 3
• One of the two most expensive infectionsto
  healthcare 3

1. Mangram AJ, et al., Guideline for prevention
of surgical site infection, 1999. Centers for
Disease Control and Prevention, Hospital
Infection Control Practices Advisory Committee,
Atlanta GA. 2. Kirkland KB, et al., Infect
Control Hosp Epidemiol. Nov 199920(11)722-4. 3.
Stone PW, et al., Am J Infect Control. Nov
200533(9)501-9
5
Goal Address a Known Risk Factor for SSIs

• Reduce themicroorganismson the patients skin.
• We should initiate acomprehensive approachfor
  skin antisepsis.

6
Current Practice

• Our current practice
• We have a protocol?
• The protocol is aligned with CDC guidelines for
  preventing SSIs?
• Compliance to protocol is?
• Hospital / surgeon compliance level?
• Patient compliance level?

7
Where we want to be

• Establish multidisciplinary SSI prevention team
• Increased awareness
• Standardized pre-op prep protocol aligned with
  CDC guidelines for preventing SSIs
• High compliance to protocol
• Hospital / surgeon compliance gt90
• Patient compliance gt80

8
Solution

• Pre-op skin prepping with CHG
• CHG is persistent, active for up to 6 hours
• Literature suggests that repeat applications
  maximize antimicrobial effect
• Rapid bactericidal action
• The only pre-op skin prep agent that the CDC
  recognizes as having excellent activity against
  gram-positive bacteria (i.e., MRSA) as well as
  excellent residual activity

9
Solution

• Pre-op skin prepping with Sage 2 CHG
• Only FDA-Approved cloth delivery of CHG
• Unique 2 CHG formulation Fast-acting and
  broad spectrum Persistent Free of alcohol
  and harsh detergents
• Unique one-step applicator cloth Delivers a
  uniform dose of CHG No drips, runs or
  pooling Large cloth allows easy prepping of
  body contours

10
Implementation
11
Awareness

• Announcement Letter

Posters
12
How Sage 2 CHG Works
13
Thank Youfor your time!