{"id":8170,"date":"2023-03-15T15:00:01","date_gmt":"2023-03-15T14:00:01","guid":{"rendered":"https:\/\/www.amil-care.com\/2023\/03\/15\/amilcare-infezioni-sito-chirurgico-ssi\/"},"modified":"2023-06-19T11:09:08","modified_gmt":"2023-06-19T09:09:08","slug":"amilcare-infections-surgical-site-ssi","status":"publish","type":"post","link":"https:\/\/www.amil-care.com\/en\/2023\/03\/15\/amilcare-infections-surgical-site-ssi\/","title":{"rendered":"Surgical site infections (SSI), how to fight them"},"content":{"rendered":"<p><span data-contrast=\"none\">Protecting yourself, your patients, and staff from nosocomial infections, and in particular from <\/span><b><span data-contrast=\"none\">surgical site infections (SSI)<\/span><\/b> <span data-contrast=\"none\">is essential to avoid unnecessary suffering, but also to be able to save costs, improve standards of care and prevent contamination.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">About one in 20 patients undergoing surgery will develop a surgical site infection; in addition, the rate of exposure of personnel to the patient&#8217;s blood during surgery reaches 10.4 per 100 procedures. It is important to ensure patient safety in the operating room and to protect healthcare workers from infections from blood-borne diseases.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Indeed, health care workers are often exposed to pathogens. Needlestick injuries, estimated at about one million in Europe every year, put them at risk of contracting blood-borne diseases, including hepatitis B, hepatitis C and HIV. The risk for patients is even higher.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Consequently<\/span><span data-contrast=\"none\">, we at AMIL Care think it is important to learn more about SSI <\/span><b><span data-contrast=\"none\">surgical site infections<\/span><\/b><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2>Surgical site infections (SSI): what are they?<\/h2>\n<p><b><span data-contrast=\"none\">SSIs<\/span><\/b><span data-contrast=\"none\"> are potential complications associated with any type of surgical procedure. In the world, they still <\/span><span data-contrast=\"none\">have a <\/span><b><span data-contrast=\"none\">critical impact on patient mortality and morbidity<\/span><\/b><span data-contrast=\"none\">, and on the additional costs borne by the healthcare system and users.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">SSI is the type of infection most likely to be hospitalized in low- and middle-income countries, which is why SSI prevention has received significant attention from infection control professionals, health authorities, and the media.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2>The burden of surgical site infections<\/h2>\n<p><span data-contrast=\"none\">As you might guess, <\/span><b><span data-contrast=\"none\">surgical site infections<\/span><\/b> <span data-contrast=\"none\">are particularly expensive to treat. An example of SSI would be a patient who develops a deep tissue infection, resulting in him being hospitalized for an extended period of time, occupying bed space that could have been used for other patients.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">As Epicenter, the public health epidemiology of the Istituto Superiore di Sanit\u00e0, explains, several studies have been conducted in Italy since the 1980s to assess the frequency of hospital infections. Based on the ECDC protocol, Italy developed a point prevalence study, conducted on 56 facilities and 14,773 patients distributed in various departments, which took place between October and November 2016. This study showed that the prevalence of patients with at least one SSI was 8.03%. The most frequent infections were respiratory (23.5 percent), bacteremia (18.3 percent), urinary (18 percent), and <\/span><b><span data-contrast=\"none\">surgical site<\/span><\/b><span data-contrast=\"none\"> (14.4 percent).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">For further information, we refer to the reading of the study prepared by the <\/span><a href=\"https:\/\/www.who.int\/teams\/integrated-health-services\/infection-prevention-control\/surgical-site-infection\"><b><span data-contrast=\"none\">World Health Organization<\/span><\/b><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2>Surgical site infections or operating room infections: what are they?<\/h2>\n<p><span data-contrast=\"none\">We can classify three main <\/span><b><span data-contrast=\"none\">surgical site infections<\/span><\/b><span data-contrast=\"none\">:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">Surgical site infection is limited to the incision site <\/span><b><span data-contrast=\"none\">\u2013<\/span><\/b><span data-contrast=\"none\"> superficial infection.<\/span><\/li>\n<li>Surgical site infection is limited to the incision site <b><span data-contrast=\"none\">\u2013<\/span><\/b><span data-contrast=\"none\"> deep infection.<\/span><\/li>\n<li>Surgical site infection involving organs and spaces.<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Superficial infections are infections that occur within 30 days of the date of surgery and may only involve the skin or subcutaneous tissue in the incision area. In general, this type of infection can have some symptoms, such as:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">purulent discharge from the incision;<\/span><\/li>\n<li>pain or feeling of tension;<\/li>\n<li>localized swelling redness.<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Deep infections occur within 30 days of surgery in the absence of a prosthetic implant, within a year in the presence of a prosthetic implant, and show at least one of the following symptoms:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">purulent discharge from deep tissues<\/span><span data-contrast=\"none\">, but<\/span><span data-contrast=\"none\"> not involving organs or spaces adjacent to the incision;<\/span><\/li>\n<li>deep incision spontaneously dehiscent or deliberately opened by the surgeon when the patient has at least one of the following signs, i.e., fever greater than 38\u00b0, pain and\/or localized tension unless the site culture is negative. Abscess or other evidence of infection seen on direct examination, during reoperation, or by radiologic or histopathologic examinations. Diagnosis of profound SSI made by the surgeon or treating physician.<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<h2>Surgical site infections: the causes<\/h2>\n<p><span data-contrast=\"none\">SSI or operating room infections are caused by microbial contamination of the surgical wound. Microorganisms can penetrate:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">From the skin of patients;<\/span><\/li>\n<li>By surgeons and other operating room personnel;<\/li>\n<li>From the air;<\/li>\n<li>From contaminated surfaces or tools used during surgery.<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<h2>Prevent surgical site infections<\/h2>\n<p><span data-contrast=\"none\">Preventing SSI is not easy. For example, it is estimated that about a third of the population naturally carries the <\/span><i><span data-contrast=\"none\">Staphylococcus aureus <\/span><\/i><span data-contrast=\"none\">bacterium on their skin and in their nostrils. Some strains of this bacterium, such as methicillin-resistant <\/span><i><span data-contrast=\"none\">Staphylococcus aureus <\/span><\/i><span data-contrast=\"none\">or MRSA, are resistant to several antibiotics. Both <\/span><i><span data-contrast=\"none\">staphylococci <\/span><\/i><span data-contrast=\"none\">and <\/span><i><span data-contrast=\"none\">enterococcal <\/span><\/i><span data-contrast=\"none\">bacteria can survive for days to months after drying on commonly used hospital textiles and plastics.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Air is also a source of infection: every minute humans lose thousands of &#8220;scales&#8221; of skin, each potentially carrying bacteria.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2>Infections in the operating room: the riskiest procedures<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h2>\n<p><b><span data-contrast=\"none\">Surgical site infections<\/span><\/b> <span data-contrast=\"none\">are extremely heterogeneous, and the incidence varies according to the type of operation, but also to the <\/span><b><span data-contrast=\"none\">conditions of the patient and the hospital environment<\/span><\/b><span data-contrast=\"none\">. They can occur during and after hospitalization and are the second most common type of infection acquired in a hospital setting.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Most SSIs are acquired in the operating room<\/span><\/b><span data-contrast=\"none\"> and result primarily from sources exogenous to the patient, such as contamination of instruments or gloves, <\/span><b><span data-contrast=\"none\">but they can also be endogenous in nature <\/span><\/b><span data-contrast=\"none\">when the microorganisms causing them are present on the patients&#8217; own skin or mucous membranes. A significant percentage, about 60%, occurs after patient discharge.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2>Medisystem by AMIL Care: a concrete aid to fight surgical site infections<\/h2>\n<p><span data-contrast=\"none\">It is thanks to the use of hydrogen peroxide as an active ingredient combined with silver salts and micro-nebulization technology that <a href=\"https:\/\/www.amil-care.com\/en\/medical\/products\/devices\/\" target=\"_blank\" rel=\"noopener\">Medisystem<\/a> carries out its activity of prevention and fight against hospital infections, including those affecting <\/span><b><span data-contrast=\"none\">the surgical site<\/span><\/b><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">In fact, hydrogen peroxide confirms its effectiveness on microorganisms of all types: bacteria, viruses, spores, fungi, and biofilms. Micro nebulization allows the saturation of the environment by eliminating pathogens through the oxidation of their cell membranes. The hydrogen peroxide then dissolves in water and oxygen, leaving no residue. These features make the system safe and practical to apply.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2>Medibios plus.hub, the effective response to SSI<\/h2>\n<p><a href=\"https:\/\/www.amil-care.com\/en\/medical\/products\/devices\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Medibios plus.hub<\/span><\/b><\/a><b><span data-contrast=\"none\"> is a Class I CE marked medical device<\/span><\/b><span data-contrast=\"none\">: a latest generation patented micro nebulizer, practical, handy, and technological, designed to be used in various hospital areas. Treatment settings are made via a touchscreen display.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Medibios plus.hub treats from 10 to 2000 cubic meters of space; allow high-level disinfection cycles with no-touch technology, together with validated protocols, in critical areas and on the main multi-resistant pathogens. The device can connect to pre-set sensors, which allow recognition of the room and the inserted program. Each cycle performed generates a report in PDF format, which can be saved on a USB stick and printed.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:-1,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The combination of the Medibios plus.hub with the AMIL Care disinfectant chemicals <\/span><span data-contrast=\"none\">forms <\/span><span data-contrast=\"none\">Medisystem.<\/span><span data-ccp-props=\"{&quot;335559737&quot;:-1}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Protecting yourself, your patients, and staff from nosocomial infections, and in particular from surgical site infections (SSI) is essential to avoid unnecessary suffering, but also to be able to save costs, improve standards of care and prevent contamination.\u00a0 About one in 20 patients undergoing surgery will develop a surgical site infection; in addition, the rate [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7926,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[],"class_list":["post-8170","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-sector"],"acf":[],"yoast_head":"<title>AMIL Care against surgical site infections SSI<\/title>\n<meta name=\"description\" content=\"Surgical site infections or SSI are extremely insidious: let&#039;s see how to prevent them efficiently with AMIL Care and its devices.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.amil-care.com\/en\/2023\/03\/15\/amilcare-infections-surgical-site-ssi\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta 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