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PRESS survey: PREvention of surgical site infection—a global pan-specialty survey of practice protocol

Heinz, J.; Walshaw, J.; Kwan, J. Y.; Long, J.; Carradice, D.; Totty, J.; Kontouli, K. M.; Lainas, P.; Hitchman, L.; Smith, G.; Huo, B.; Guadalajara, H.; Garcia-Olmo, D.; Sharma, D.; Biyani, C. S.; Tomlinson, J.; Loubani, M.; Galli, R.; Lathan, R.; Chetter, I.; Yiasemidou, M.

Authors

J. Heinz

J. Walshaw

J. Y. Kwan

J. Long

Profile image of Josh Totty

Mr Josh Totty J.Totty@hull.ac.uk
NIHR Clinical Lecturer in Plastic Surgery

K. M. Kontouli

P. Lainas

L. Hitchman

B. Huo

H. Guadalajara

D. Garcia-Olmo

D. Sharma

C. S. Biyani

J. Tomlinson

M. Loubani

R. Galli

R. Lathan

M. Yiasemidou



Abstract

Background: Surgical site infections (SSI) complicate up to 40% of surgical procedures, leading to increased patient morbidity and mortality. Previous research identified disparities in SSI prevention guidelines and clinical practices across different institutions. The study aims to identify variations in SSI prevention practices within and between specialties and financial systems and provide a representation of existing SSI preventative measures to help improve the standardization of SSI prevention practices. Methods: This collaborative cross-sectional survey will be aimed at pan-surgical specialties internationally. The study has been designed and will be reported in line with the CROSS and CHERRIES standards. An international study steering committee will design and internally validate the survey in multiple consensus-based rounds. This will be based on SSI prevention measures outlined in the CDC (2017), WHO (2018), NICE (2019), Wounds UK (2020) and the International Surgical Wound Complications Advisory Panel (ISWCAP) guidelines. The questionnaire will include demographics, SSI surveillance, preoperative, peri-operative and postoperative SSI prevention. Data will be collected on participants' surgical specialty, operative grade, of practice and financial healthcare system of practice. The online survey will be designed and disseminated using QualtricsXM Platform™ through national and international surgical colleges and societies, in addition to social media and snowballing. Data collection will be open for 3 months with reminders, and raking will be used to ascertain the sample. Responses will be analyzed, and the chi-square test used to evaluate the impact of SSI prevention variables on responses. Discussion: Current SSI prevention practice in UK Vascular surgery varies considerably, with little consensus on many measures. Given the inconsistency in guidelines on how to prevent SSIs, there is a need for standardization. This survey will investigate the disparity in SSI preventative measures between different surgical fields and countries.

Citation

Heinz, J., Walshaw, J., Kwan, J. Y., Long, J., Carradice, D., Totty, J., Kontouli, K. M., Lainas, P., Hitchman, L., Smith, G., Huo, B., Guadalajara, H., Garcia-Olmo, D., Sharma, D., Biyani, C. S., Tomlinson, J., Loubani, M., Galli, R., Lathan, R., Chetter, I., & Yiasemidou, M. (2023). PRESS survey: PREvention of surgical site infection—a global pan-specialty survey of practice protocol. Frontiers in Surgery, 10, Article 1251444. https://doi.org/10.3389/fsurg.2023.1251444

Journal Article Type Article
Acceptance Date Aug 15, 2023
Online Publication Date Sep 25, 2023
Publication Date Jan 1, 2023
Deposit Date Oct 3, 2023
Publicly Available Date Oct 3, 2023
Journal Frontiers in Surgery
Electronic ISSN 2296-875X
Publisher Frontiers Media
Peer Reviewed Peer Reviewed
Volume 10
Article Number 1251444
DOI https://doi.org/10.3389/fsurg.2023.1251444
Keywords Survey; Surgical wound infection; Surgery; Practice; Guidelines
Public URL https://hull-repository.worktribe.com/output/4406493
Publisher URL https://www.frontiersin.org/articles/10.3389/fsurg.2023.1251444

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0

Copyright Statement
© 2023 Heinz, Walshaw, Kwan, Long, Carradice, Totty, Kontouli, Lainas, Hitchman, Smith, Huo, Guadalajara, Garcia-Olmo, Sharma, Biyani, Tomlinson, Loubani, Galli, Lathan, Chetter and Yiasemidou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.




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