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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
April 01, 2025 - replacement6
59 percent reduction in SSIs
70 percent reduction in SSIs due to MRSA; 50 percent MSSA
Surgery … No difference in rates of deep SSI or deep SSI due to S. aureus
Elective orthopedic surgery with hardware … implantation11
CHG bathing plus iodophor on morning of surgery
76 percent decreased risk of developing … twice daily for 5 days pre-op
Start as soon as possible with as many doses, even if just one prior to surgery … Preoperative Staphylococcus aureus screening and targeted decolonization in cardiac surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/009-ss-evidence-decolonization-fg.docx
April 01, 2025 - , during the surgery itself, and the immediate postoperative period. … And, across the board for all surgery types, Staphylococcus aureus is the most common pathogen identified … Slide 7
S. aureus Causes SSIs in High-Risk Surgeries
SAY:
In examining some surgery types that are … Slide 24
How Should CHG Be Used Prior to Surgery? … as directed, CHG bathing the night before and morning of surgery is recommended.
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www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
January 01, 2024 - Serum vancomycin levels within 24 hours following surgery were recorded, and
microbiology cultures from … anterior nares and skin were collected preoperatively (on the surgery
day) and postoperatively on days … and spinal surgery. … care unit to the
neurological surgery post-op floor or to the neurologic intensive care unit (NICU) … We
conclude that topical vancomycin treatment is safe in the setting of neurological surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
April 01, 2025 - for MRSA Prevention | Surgical Services
Antimicrobial Prophylaxis Part 1
Antimicrobial Prophylaxis in Surgery … Cardiac*
Spine
Hip and knee replacement
*Cefuroxime is often used effectively in cardiac surgery though … 1
8
Expected Microbiology3
S. aureus is the most frequently isolated SSI pathogen for:
Orthopedic surgery … Cardiac surgery
| 9
AHRQ Safety Program for MRSA Prevention | Surgical Services
Antimicrobial … Clinical practice guidelines for antimicrobial prophylaxis in surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/121-importance-mrsa-prevention-one-pager.docx
April 01, 2025 - burden on skin
· CHG bathing 5 days pre-op (best evidence)
· CHG bathing night before and morning of surgery … , resistance)
Evidence-Based Infection Prevention
· Hand hygiene,11 surgical scrub,12 skin prep for surgery … decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic surgery … bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery … Clinical practice guidelines for antimicrobial prophylaxis in surgery.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - routine post-discharge wound care to reduce post-discharge surgical site infection (SSI) following open colon … or small bowel surgery. … The Decrease SSI Trial (Decolonization to Reduce After-Surgery Events of Surgical Site Infection) project
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
April 01, 2025 - Timing of surgery – Schedule procedures for MRSA-positive patients at the end of the day. … MRSA-Positive Patients
SAY:
Ortho Medical Group is a specialized center for orthopedic and spinal surgery … It is a high-volume surgery center and is actively expanding in the region. … Per hospital policy, all patients undergo nasal screening for MRSA prior to surgery to guide decisions … electronic health records confirmed this trend, with approximately 25 percent of patients coming in for surgery
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
April 01, 2025 - · Proven effective in several large studies and across several surgery types.2,3,5
· Can inform antimicrobial … the better choice if—
· Local MRSA prevalence rates are low.
· This strategy is preferred by local surgery … bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery … Individual decontamination measures reduce by the two the incidence of surgical site infections in spinal surgery … Preoperative Staphylococcus aureus screening and targeted decolonization in cardiac surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
November 01, 2023 - Your Body
Stomach
Small
intestine
Large
intestine
(Colon)
Rectum
Anus
Appendix
Food is broken … Next, it moves into your colon (large intestine). … The colon absorbs water,
and the leftover waste becomes feces (poop). … At the beginning of the colon is a little finger-shaped pouch called the appendix [uh-PEN-diks]. … At the end of the colon is the rectum [REK-tuhm].
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/41-appendectomy-patient.pdf
June 01, 2023 - Your Body
Stomach
Small
intestine
Large
intestine
(Colon)
Rectum
Anus
Appendix
Food is broken … Next, it moves into your colon (large intestine). … The colon absorbs water,
and the leftover waste becomes feces (poop). … At the beginning of the colon is a little finger-shaped pouch called the appendix [uh-PEN-diks]. … At the end of the colon is the rectum [REK-tuhm].
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
April 01, 2025 - to ensure perioperative antibiotic prophylaxis is stopped
within 24 hours (or 48 hours for cardiac surgery … is feedback about compliance provided to the service: Off
within 24 hours or 48 hours for cardiac surgery
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/034-ss-action-chart-decisionmaking-readiness.docx
April 01, 2025 - the Evidence for Decolonization
A surgical site infection (SSI) is an infection that occurs after surgery … in the part of the body where the surgery took place. … , through the group that submits cardiac surgery data to the Society for Thoracic Surgery (STS) National … For instance, this might include the chief of surgery, director of nursing, and/or nurse educator. … Preoperative prevention of surgical-site infection in spine surgery.
-
www.ahrq.gov/research/findings/studies/index.html?page=194
January 01, 2024 - Association of open approach vs laparoscopic approach with risk of surgical site infection after colon … surgery. … The authors assessed whether laparoscopic colon surgery is associated with a lower surgical site infection … surgery. … surgery.
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
December 01, 2017 - Deep-Rooting Your Data: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety … Program for Surgery—Sustainability
Deep-Rooting Your Data
Slide 2: Learning Objectives
After … Appropriate colon preparation.
Avoid elective surgery if remote infection present.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/092-evidence-decolonization-one-pager.docx
April 01, 2025 - .
· Results: For all surgery types, Staphylococcus aureus is the most common causative pathogen for SSIs … Bundled Intervention With Surgical Site Infections Among Patients Undergoing Cardiac, Hip, or Knee Surgery … bundle is associated with a lower risk of S aureus SSIs in patients undergoing cardiac or hip or knee surgery … screening, decolonization, and targeted prophylaxis, can decrease S. aureus rates in cardiac and hip/knee surgery … bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery
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www.ahrq.gov/research/findings/studies/index.html?page=247
January 01, 2024 - Keywords: Ambulatory Care and Surgery, Electronic Health Records (EHRs), Health Information Technology … quality improvement reduces postoperative pneumonia after isolated coronary artery bypass grafting surgery … This study examined post cardiac surgery pneumonia rates associated with participation in a statewide … quality improvement reduces postoperative pneumonia after isolated coronary artery bypass grafting surgery … Keywords: Outcomes, Patient Safety, Pneumonia, Quality of Care, Quality Improvement, Surgery
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh10.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 10. … Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery
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www.ahrq.gov/research/findings/studies/index.html?page=232
January 01, 2024 - Trends in outcomes after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy. … The authors looked at rates and rankings for surgical site infection following colon surgery in 155 hospitals … for colon cancer: insights from national patterns of physician encounters with Medicare beneficiaries … This study researched the coordination of care before and after surgery for colon cancer patients using … Coordination of care around surgery for colon cancer: insights from national patterns of physician encounters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data
Deep-Rooting Your Data
AHRQ Safety Program for Surgery … preoperative skin preparation
Use of antimicrobial prophylaxis
Avoid postoperative hemorrhages
Appropriate colon … CY11 Q2 CY11 Q3 CY11 Q4 CY12 Q1 CY12 Q2 CY12 Q3 CY12 Q4 CY13 Q1 CY13 Q2 5 4 2 0 5 7 4 2 4 3 % SSIs for colon … sample of NSQIP data, make sure to explain that the data does not represent every patient undergoing colon … surgery, but a sampling.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/095-mrsa-surveillance.docx
April 01, 2025 - Preoperative MRSA Surveillance Strategies
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Comparison of Surveillance Approaches
This document defines the types of MRSA surveillance strategies and what is needed to implement either approach. This tool can be a resource to help…