Shiraz Shafi
Hand and Wrist Trauma: AntimicrobIals and Infection – Audit of Clinical Practice (HAWAII - ACP)
Shafi, Shiraz; Yoshimura, Ryo; Harrison, Conrad; Wade, Ryckie; Shaw, Abigail; Totty, Joshua; Rodriguez, Jeremy; Gardiner, Matthew; Wormald, Justin
Authors
Ryo Yoshimura
Conrad Harrison
Ryckie Wade
Abigail Shaw
Mr Josh Totty J.Totty@hull.ac.uk
NIHR Clinical Lecturer in Plastic Surgery
Jeremy Rodriguez
Matthew Gardiner
Justin Wormald
Abstract
Aims
Hand trauma, consisting of injuries to both the hand and the wrist, are a common injury seen worldwide. The global age-standardized incidence of hand trauma exceeds 179 per 100,000. Hand trauma may require surgical management and therefore result in significant costs to both healthcare systems and society. Surgical site infections (SSIs) are common following all surgical interventions, and within hand surgery the risk of SSI is at least 5%. SSI following hand trauma surgery results in significant costs to healthcare systems with estimations of over £450 per patient. The World Health Organization (WHO) have produced international guidelines to help prevent SSIs. However, it is unclear what variability exists in the adherence to these guidelines within hand trauma. The aim is to assess compliance to the WHO global guidelines in prevention of SSI in hand trauma.
Methods
This will be an international, multicentre audit comparing antimicrobial practices in hand trauma to the standards outlined by WHO. Through the Reconstructive Surgery Trials Network (RSTN), hand surgeons across the globe will be invited to participate in the study. Consultant surgeons/associate specialists managing hand trauma and members of the multidisciplinary team will be identified at participating sites. Teams will be asked to collect data prospectively on a minimum of 20 consecutive patients. The audit will run for eight months. Data collected will include injury details, initial management, hand trauma team management, operation details, postoperative care, and antimicrobial techniques used throughout. Adherence to WHO global guidelines for SSI will be summarized using descriptive statistics across each criteria.
Discussion
The Hand and Wrist trauma: Antimicrobials and Infection Audit of Clinical Practice (HAWAII ACP) will provide an understanding of the current antimicrobial practice in hand trauma surgery. This will then provide a basis to guide further research in the field. The findings of this study will be disseminated via conference presentations and a peer-reviewed publication.
Citation
Shafi, S., Yoshimura, R., Harrison, C., Wade, R., Shaw, A., Totty, J., Rodriguez, J., Gardiner, M., & Wormald, J. (2024). Hand and Wrist Trauma: AntimicrobIals and Infection – Audit of Clinical Practice (HAWAII - ACP). Bone & Joint Open, 5(4), 361-366. https://doi.org/10.1302/2633-1462.54.BJO-2023-0144.R1
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 8, 2024 |
Online Publication Date | Apr 24, 2024 |
Publication Date | Apr 1, 2024 |
Deposit Date | Jan 11, 2024 |
Publicly Available Date | Apr 26, 2024 |
Journal | Bone & Joint Open |
Publisher | British Editorial Society of Bone and Joint Surgery |
Peer Reviewed | Peer Reviewed |
Volume | 5 |
Issue | 4 |
Pages | 361-366 |
DOI | https://doi.org/10.1302/2633-1462.54.BJO-2023-0144.R1 |
Public URL | https://hull-repository.worktribe.com/output/4508314 |
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Copyright Statement
© 2024 Shafi et al. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/
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