Publications by authors named "Nares Arroyo-Garcia"
Article Synopsis
- Bundled interventions for colorectal surgery were analyzed in a nationwide study to determine their effectiveness in reducing surgical site infections (SSI) compared to a control group.
- The study involved 37,849 procedures, revealing that implementing the care bundle reduced overall SSI rates from 18.38% in the control group to 10.17% in the intervention group, showing a significant decrease in infection rates.
- Key components of the bundle, such as laparoscopy, oral antibiotic prophylaxis (OAP), and mechanical bowel preparation, were most effective in lowering both overall SSI and organ/space SSI, highlighting the importance of these practices for improving surgical outcomes.
Background: Colorectal surgery is associated with the highest rate of surgical site infection (SSI). This study analyses the effectiveness of an interventional surveillance program on SSI rates after elective colorectal surgery.
Material And Methods: Cohort study showing temporal trends of SSI rates and Standardized Infection Ratio (SIR) in elective colorectal surgery over a 12-year period.
Background: The role of oral antibiotic prophylaxis (OAP) and mechanical bowel preparation (MBP) in the prevention of surgical site infection (SSI) after colorectal surgery is still controversial. The aim of this study was to analyze the effect of a bundle including both measures in a National Infection Surveillance Network in Catalonia.
Methods: Pragmatic cohort study to assess the effect of OAP and MBP in reducing SSI rate in 65 hospitals, comparing baseline phase (BP: 2007-2015) with implementation phase (IP: 2016-2019).
The use of mechanical bowel preparation and prophylaxis with oral antimicrobial agents can prevent surgical site infection (SSI) in colorectal surgical procedures, but routine adoption of these and other practices by surgeons has been limited. The aim of this study was to determine the actual practice and surgeon beliefs about preventative measures in elective colorectal operations and to compare them with established recommendations. Web-based survey was sent to colorectal surgeons assessing knowledge, beliefs, and practices regarding the use of preventative measures for SSI.
View Article and Find Full Text PDFThe role of oral antibiotic prophylaxis and mechanical bowel preparation in colorectal surgery remains controversial. The lack of efficacy of mechanical preparation to improve infection rates, its adverse effects, and multimodal rehabilitation programs have led to a decline in its use. This review aims to evaluate current evidence on antegrade colonic cleansing combined with oral antibiotics for the prevention of surgical site infections.
View Article and Find Full Text PDFBackground: The knowledge of the grade of implementation of preventative measures for surgical site infection (SSI) is crucial prior to planning dissemination strategies.
Methods: Online survey among the members of the Spanish Association of Surgeons (AEC) to know the actual application of measures, and to compare them with new recommendations issued by international organizations.
Results: Most of the 835 responding surgeons work in National Health Service Hospitals (91.