Decreasing Surgical Site Infections with Post-Op Dressing

Decreasing Surgical Site Infections with the Use of a Post-Op AG Border Dressing

Introduction

An infection from an operation that results in purulent drainage, fever, pain or tenderness or an abscess within 30 days of the operation is considered to be a surgical site infection (SSI). Surgical site infections are the most common type nosocomial infection. They are associated with an increase in morbidity and mortality. The cost for an SSI includes increased length of stay, antibiotics, and increased readmission rates and can affect the long term health of the patient.

Method

A trial was conducted with post-op dressings for a period of 2 weeks. The trial was limited to all hip, and knee surgeries. All orthopedic physicians, residents, and nursing staff on the orthopedic unit were educated on the product and its application. One dressing was removed from the study almost immediately due to poor adhesion to the surgical site. We looked for a dressing that provided better adhesion to the surgical site, no skin irritation, increase comfort and ROM in the hope of a decrease of SSI.

Results

In 2016 the institution used gauze and tape for all hip and knee surgeries. We converted to a Post-Op dressing in 2017 and had and increase in SSI by 47%. We changed to a new Post-Op AG dressing in April of 2018 and obtained ZERO SSI with it's use.

Discussion

As with any product as an institution we focus on quality patient. From a patient perspective the time, money and pain that is associated with an SSI is concerning. Using this Post-Op AG dressing has had a positive outcome financially for the institution and a positive health and financial outcome for the patient.