title: [Prevention of surgical site infection in abdominal surgery. A critical review of the evidence].
abstract: Surgical site infection (SSI) is associated with prolonged hospital stay, increased morbidity, mortality and sanitary costs, and reduced patients quality of life. Many hospitals have adopted guidelines of scientifically-validated processes for prevention of surgical site and central-line catheter infections and sepsis. Most of these guidelines have resulted in an improvement in postoperative results. A review of the best available evidence on these measures in abdominal surgery is presented. The best measures are: avoidance of hair removal from the surgical field, skin decontamination with alcoholic antiseptic, correct use of antibiotic prophylaxis (administration within 30-60 min before incision, use of 1(st) or 2(nd) generation cephalosporins, single preoperative dosis, dosage adjustments based on body weight and renal function, intraoperative re-dosing if the duration of the procedure exceeds 2 half-lives of the drug or there is excessive blood loss), prevention of hypothermia, control of perioperative glucose levels, avoid blood transfusion and restrict intraoperative liquid infusion.
authors.affiliation: Sección de Infección Quirúrgica, Asociación Española de Cirujanos, España; Servicio de Cirugía, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España. Electronic address: jruiztovar@gmail.com.
authors.forename: Jaime
authors.initials: J
authors.lastname: Ruiz Tovar
authors.affiliation: Sección de Infección Quirúrgica, Asociación Española de Cirujanos, España; Servicio de Cirugía, Hospital General Universitari de Granollers, Universitat Internacional de Catalunya, Barcelona, España. Electronic address: jmbadia@fhag.es.
authors.forename: Josep M
authors.initials: JM
authors.lastname: Badia
mesh_terms: D000005:Abdomen / Q000601:surgery*; D019072:Antibiotic Prophylaxis; D006801:Humans; D017410:Practice Guidelines as Topic; D013530:Surgical Wound Infection / Q000517:prevention & control*
keywords: Complicaciones postoperatorias; Control; Infección de sitio quirúrgico; Postoperative complications; Prevención; Prevention; Surgical site infection