You know it: a surgical procedure is more than surgical moves.
SSI prevention has to go hand in hand with it to ensure high quality of care.
Find support for this important interaction here.
Uniquely prepared. Vividly presented.
Core Measures
A surgical intervention, whether inpatient or outpatient, always involves appropriate infection prevention. And this in an increasingly stressful and multidimensional clinical setting. We have made it our challenge to improve complex daily surgical routine by providing necessary measures for SSI prevention in a unique way.
Guideline-compliant. Compact. Illustrative. Expanded with 200 years of HARTMANNs expertise.
Surgical Hand Antisepsis
Surgical hand preparation should not only eliminate the transient flora and reduce the resident flora but also inhibit the growth of bacteria under the gloved hand.1
Due to its high importance in infection prevention, there are a number of recommendations on this...
Surgical gloves and attire
- When to use double gloves?
- When to change gloves during an operation?
- What type of gloves should be used?
Surgical site Preparation
After preoperative antisepsis and drying of the surgical field, its surroundings are sterilely covered under aseptic conditions.2
Surgical irrigation
The benefits of intraoperative antimicrobial irrigation and information on usable solutions…
Surgical Wound
Equipment
To protect the instruments from microbial contamination in the operating room, they should only be uncovered immediately before the start of surgery (incision).2
Wound drain
Removing of wound drain is suggested when clinically indicated. There is no evidence for an optimal timing for wound drain removal.1
Complementary Measures
Prevention of SSI includes not only hygiene measures but also therapeutic steps, structural conditions, and corresponding measures.
HARTMANN provides comprehensive information on the recommendations of international institutions - even if they go beyond hygienic measures - to create a source for you to find everything in one place.
Further Recommendations
Find here a discussion about e.g. perioperative oxygenation and blood glucose control
Bundle Measures
For the prevention of SSI, it has proven effective to combine particularly important measures into a bundle of measures, to train on the bundle, and to monitor compliance with the bundle in the form of self-monitoring.1
Find new ideas here to combine measures and more…
Surgical Team Preparation
Do you have a standardized practice to prepare for surgical procedures?
OR Basics
Even apparent and self-evident facts in the prevention of SSI should be regularly refreshed and communicated.
Measures at a Glance
Surgical site infection prevention is a task in which different sections are involved.
Find here all relevant measures and information per perspective to create your individual infection prevention bundle!
For an easier daily routine with infection prevention.
Surgery & Procedure
- Surgical Hand Antisepsis
- Surgical gloves and surgical attire
- Surgical Site Preparation
- Surgical Irrigation
- Surgical Wound
- Equipment
- Wound Drain
- Further recommendations
OR Team
- Behavior of OR team
- Work attire and Personal Protective Equipment
- Surgical Hand Antisepsis
- Surgical gloves and attire
- Surgical Site Preparation
- Surgical irrigation
- Hand Hygiene
- Surgical wound
- Further recommendations
Patient
- Preoperative bathing
- Patient clothing
- Hair removal
- Mechanical bowel preparation and use of oral antibiotics
- Decolonization of Staphylococcus aureus carriage
- Further recommendations
Cleaning & Disinfection
- Surface Cleaning
- Surface Disinfection
- Equipment
Anesthetist & Team
- Work attire and Personal Protective Equipment
- Patient Perioperative Warming
- Perioperative surgical antibiotic prophylaxis (SAP)
- Behavior of OR team
- Hand Hygiene
- Further recommendations
General
- Hand Hygiene
- Perioperative surgical antibiotic prophylaxis (SAP)
- Work attire and Personal Protective Equipment
- Surgical Hand Antisepsis
- Behavior of OR team
- Surveillance
- Structural Conditions
References:
1. WHO. Global guidelines for the prevention of surgical site infection. World Health Organization 2016.
2. KRINKO (2018) Prävention postoperativer Wundinfektionen. Empfehlungen der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut. Bundesgesundheitsbl 61: 448–473.