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:10/13/2017)... ... , ... “The Journey: From the Mountains to the Mission Field”: the story ... the Philippines. “The Journey: From the Mountains to the Mission Field” is the creation ... has taught all ages and currently teaches a class of ladies at her church, ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San Francisco ... using cutting-edge Oventus O2Vent technology. As many as 18 million Americans are estimated ... in breathing. Oral appliances can offer significant relief to about 75 percent of ...
(Date:10/12/2017)... ... ... IsoComforter, Inc. ( https://isocomforter.com ), one of the Nation’s premier ... of the shoulder pad. The shoulder pad provides optimal support and full contact ... using cold therapy. By utilizing ice and water that is circulated from an insulated ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information ... we intend to develop to enable prevention of a major side effect of ... loss, especially in pediatric patients. For cisplatin, hearing loss is FDA listed on-label ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts ... Washington, D.C., for the 49th Congress of the International Society of Paediatric Oncology ... of the Center for Cancer and Blood Disorders at Children’s National, and ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)... LAWRENCE, Mass. , Oct. 4, 2017 /PRNewswire/ ... developer of single-use, self-contained, illuminating medical devices, today ... National Health Surveillance Agency (or Agência Nacional ... ®. The first single-use, cordless surgical retractor with ... ONETRAC provides optimal access, illumination and exposure of ...
(Date:10/2/2017)... -- The Rebound mobile app is poised to become a ... of prescription drug addiction. The app empowers users to develop ... down their dosage in a safe, controlled manner while maximizing ... first 100,000 people to sign up will enjoy 3 months ... ...
(Date:9/25/2017)... 2017   Montrium , an industry leader ... the IQPC Trial Master Files & Inspection Readiness ... EastHORN Clinical Services has selected eTMF Connect ... management. EastHORN, a leading European contract research organization ... transparency to enable greater collaboration with sponsors, improve ...
Breaking Medicine Technology: