Come Clean for Surgery

Abstract

When patients are brought to the operating theatre a series of checks are performed to reduce harm or potential harm to our patients. One harm that can cause significant morbidity and mortality to our patients is surgical site infection (SSI). Reducing SSIs requires a multi-faceted approach prior to the incision. Prophylactic antibiotics are given, if indicated, along with glucose and temperature control as part of an SSI bundle. Meticulous attention is paid by the team to ensure that the surgical field is prepared with antiseptic solutions such as chlorhexidine or betadine. The airflow changes in theatres also help minimise the risk of infection. The surgeon and scrub team are trained to undertake strict asepsis when ‘scrubbing up’. The rest of the team are careful to ensure hand hygiene and appropriate glove use at all times.