Navigation Links
Electronic reminders can help patients prevent surgical site infections
Date:8/1/2014

CHICAGO (August 1, 2014)The use of electronic reminders such as text messages, emails or voicemails is highly effective at getting surgical patients to adhere to a preadmission antiseptic showering regimen known to help reduce risk of surgical site infections (SSIs), according to a first-of-its-kind study published in the August issue of the Journal of the American College of Surgeons.

Each year approximately 400,000 SSIs occur and lead to a death rate approaching nearly 100,000 according to data sources cited by study authors. To help reduce the risk of these dangerous infections, clinicians recommend that surgical patients take antiseptic showers with chlorhexidine gluconate (CHG) 24 to 48 hours before admission. CHG is beneficial because it reduces the microbial burden on the surface of the skin and, thereby, the risk of intraoperative wound contamination.

"SSI risk reduction really involves a holistic approach and the preadmission shower is an important component of that comprehensive prevention program. So, if a patient excludes one of the components in this process, the benefit of the surgical care could be affected," said lead study author Charles E. Edmiston, PhD, professor of surgery and hospital epidemiologist, Medical College of Wisconsin, Milwaukee.

"In general, getting patients to comply with this preadmission cleansing strategy is a challenge throughout health care," Dr. Edmiston said. "While patients want to be compliant, they will often forget to fulfill this preadmission requirement. So, that's why we looked to new technology for a solution. When you use a prompt like texting or emailing, you make the patient an intimate partner in the health care process."

For the study, researchers recruited 80 healthy volunteers who were randomized to one of four skin-antiseptic showering groups. Electronic alerts were sent as voicemails, text messages or emails, with text messages being the most popular method (80%) among volunteers. Volunteers were randomized to either taking two (Group A) or three showers (Group B). Group A1 and group B1 was prompted to shower by an electronic alert reminder, while Groups A2 and B2 did not receive an electronic prompt.

The participants were instructed to return to the laboratory within three hours after their last shower to have their skin-surface concentrations of CHG analyzed at five separate sites on their bodies. Researchers measured compliance by looking at skin-surface concentrations of CHG in all 80 individuals who were assigned to take the antiseptic showers.

The analysis showed that CHG skin-surface concentrations were significantly higher in groups A1 and B1 (patients who received alerts) compared with groups A2 and B2 (patients who did not get reminders). In a comparative analysis between groups A1 and A2, there was a 66 percent reduction in the composite mean concentration of CHG on the skin surface in patients who were not alerted to shower (group A2) compared with those who received electronic reminders (group A1).

Furthermore, in the groups that showered three times, there was a 67 percent reduction in the composite mean skin-surface concentration of CHG in patients who were not alerted before showering (group B2) compared with those who received electronic alerts (group B1).

Thus, the researchers conclude that the patients who did not receive digital communications reminding them to shower were significantly less compliant with preadmission orders compared with those who received the electronic reminders. These study findings have great ramifications not only for this preadmission strategy and its potential impact on SSI risk reduction, but also for other preadmission orders.

"I think a study like this provides us with a tremendous opportunity to empower patients because it clearly makes them an intimate partner in the whole health care experience," Dr. Edmiston said. "It's reminding them that they are not a passive player but rather an active participant in an important risk-reduction strategy that if successfully completed can contribute to an improved clinical outcome."

Ultimately, the researchers are striving to develop a standardized process wherein surgical patients take preadmission showers in a methodical way, resulting in an overall improvement in outcomes. Moving forward, additional research is needed to determine if electronic alert reminders and better compliance translate into lower SSI rates, Dr. Edmiston concluded.


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
American College of Surgeons
Source:Eurekalert

Related medicine news :

1. Country Star Jimmy Robbins Now Using Etymotic’s MusicPRO Electronic Earplugs
2. Identifying newly diagnosed HIV-infected people using electronic medical records
3. Power Electronics Market Estimated to Reach $36.86 Billion by 2020 at CAGR of 7.74% - New Report by MarketsandMarkets
4. Better use of electronic health records makes clinical trials less expensive
5. Little exercise and heavy use of electronic media constitute a significant health risk for children
6. Access to electronic health records may influence care
7. Electronic tool helps reduce drug errors among hospitalized children
8. Electronic nose sniffs out prostate cancer using urine samples
9. Electronic medication alerts designed with provider in mind reduce prescribing errors
10. The World's Most Advanced Desktop Electronic Magnifier for Under $2,000
11. South African trauma center launches portable electronic trauma health record application
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/28/2016)... (PRWEB) , ... April 28, 2016 , ... ... the California Dental Association, today announced it has signed a letter of intent ... Corporation (DBC) and Northwest Dentists Insurance Company (NORDIC). , Started by dentists 36 ...
(Date:4/28/2016)... ... 28, 2016 , ... CastCoverz!, America’s #1 trusted brand for ... oldest waterproof cast protector . As the largest one-stop, orthopedic shop, CastCoverz! ... daily, night, weatherproof and waterproof covers for most orthopedic devices, including but not ...
(Date:4/28/2016)... ... April 28, 2016 , ... ... the organization’s most successful events, attracting medical professionals from around the globe who ... networking events. , Opening Ceremonies Sunday, April 17 included the introduction of the ...
(Date:4/28/2016)... ... April 28, 2016 , ... In many parts of the world, ... childhood mortality. This is particularly true in underdeveloped parts of Africa where clean sources ... New England’s campus in Tangier, Morocco, will examine this global health issue and consider ...
(Date:4/28/2016)... ... 28, 2016 , ... Cognizin® Citicoline is one of three ... the Healthy Ageing category, Cognizin® is being considered for this prestigious honor due ... include everything from antioxidants, lipids, proteins, and botanicals. NutraIngredients will choose a winner ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... Oramed Pharmaceuticals Inc. (NASDAQ: ... on the development of oral drug delivery systems, announced today ... conference, presented by Joseph Gunnar & Co. LLC, ... York . Nadav Kidron , CEO of Oramed, ... Presentation Details:   PIONEERS 2016, presented by ...
(Date:4/28/2016)... , April 28, 2016  ValGenesis, Inc., ... Management Solutions (VLMS) today announced that a ... for sufferers of chronic kidney failure has ... manage their corporate validation process. The global ... software solution to manage their validation processes ...
(Date:4/28/2016)... , April 28, 2016 ... H1 2016" is a report that provides an ... strengthen R&D pipelines by identifying new targets and ... Company Profiles discussed in this H1 2016 ... Riunite Srl, AbbVie Inc., Abiogen Pharma S.p.A., Ablynx ...
Breaking Medicine Technology: