# Surgical Site Infections — GCMD Library living collection

Everything in the library about surgical site infections — built automatically from dossiers that name it.

Updated: n/a · 10 episodes · 35 cited statements

## Episodes
### Surgical Management
- [PAPS - Optimizing skin antisepsis for neonatal surgery - Sophie Carr](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426) — video · [machine version](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426.md)
- [PAPS Best of the Best Winner](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435) — video · [machine version](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435.md)
- [Update Course Rewind: Effects of Mechanical Bowel Prep on SSIs 2022](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765) — video · [machine version](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765.md)
- [Surgical Site Infections and Perioperative Antibiotic Use in Children with Medical Complexity](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893) — video · 0:52 · [machine version](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893.md)

### Evidence & Research
- [Improve Wound Misclassification with Focused Education](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244) — video · [machine version](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244.md)
- [MediByte - Intraoperative temperatures impact on postoperative infections](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629) — video · [machine version](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629.md)
- [Standardized perioperative care reduces colorectal surgical site infection in children](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578) — video · 1:02 · [machine version](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578.md)
- [El cuidado perioperatorio estandarizado reduce las infecciones del sitio quirúrgico en niños](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579) — video · [machine version](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579.md)
- [The Role of Diversion During Ileal Pouch Anal Anastomosis (IPAA) Creation in Pediatric Ulcerative Colitis - JPS](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998) — video · [machine version](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998.md)
- [El papel de la ostomía durante la creación del Pouch ileal coon anastomosis anal (IPAA) en la colitis ulcerosa pediátrica - JPS](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999) — video · [machine version](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=0) Introduction to wound classification challenges (Ep 1)
- [1:00](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=60) Educational intervention design (Ep 1)
- [2:00](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=120) Study results and impact on classification accuracy (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629?t=0) Study overview: intraoperative temperature and postoperative infections in infants (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0) Protocol Development and Implementation for Neonatal CHG-IPA Antisepsis (Ep 3)
- [3:40](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=220) Discussion of Case Contamination, Weight Cutoffs, and Bundle Components (Ep 3)
- [8:26](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=506) Statistical Significance and Procedure Selection (Ep 3)
- [0:00](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=0) Introduction to Best of the Best Event and PAPS Finalist (Ep 4)
- [1:15](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=75) Neonatal Skin Antisepsis Protocol Presentation (Ep 4)
- [4:57](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=297) Expert Discussion and Q&A (Ep 4)
- [0:00](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578?t=0) Perioperative care bundle for pediatric colorectal SSI reduction (Ep 5)
- [0:00](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579?t=0) Perioperative care bundles and surgical site infection reduction in pediatric colorectal surgery (Ep 6)
- [0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0) Mechanical bowel prep and SSI in pediatric colorectal surgery (Ep 7)
- [1:44](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=104) Closing remarks (Ep 7)
- [0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0) Study Overview: Diversion During IPAA in Pediatric Ulcerative Colitis (Ep 8)
- [0:00](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999?t=0) Ostomy necessity in pediatric IPAA for ulcerative colitis (Ep 9)
- [0:00](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893?t=0) SSI Prevention in Medically Complex Children (Ep 10)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "Children with medical complexity face a much higher risk of surgical site infections than other patients." — Lizzie Lee (host_summary) [Ep 10 · 0:07](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893?t=7)
- "The answer to preventing SSI in medically complex children is not simply giving them more antibiotics." — Lizzie Lee (host_summary) [Ep 10 · 0:13](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893?t=13)
- "Standardized infection prevention practices include preoperative bathing, proper skin cleaning, screening certain patients for MRSA, and careful wound care." — Lizzie Lee (host_summary) [Ep 10 · 0:17](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893?t=17)
- "The standard antibiotics used before surgery (like cefazolin) are usually enough, even for medically complex children." — Lizzie Lee (host_summary) [Ep 10 · 0:26](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893?t=26)
- "One opportunity to improve care is making sure children who are not truly allergic to beta-lactam antibiotics can still receive the most effective medication." — Lizzie Lee (host_summary) [Ep 10 · 0:35](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893?t=35)
- "Preventing surgical site infections takes a team of nurses, surgeons, and specialists." — Lizzie Lee (host_summary) [Ep 10 · 0:44](https://library.globalcastmd.com/watch/surgical-site-infections-and-perioperative-antibiotic-use-in-children-with-medical-complexity-13893?t=44)
- "Surgical site infections are a major cause of perioperative morbidity in children undergoing colorectal surgery" — Alex Halpern (epidemiological) [Ep 5 · 0:00](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578?t=0)
- "The Western Pediatric Surgery Research Consortium conducted a prospective cohort study on children undergoing colorectal surgery across 10 hospitals in the US" — Alex Halpern (clinical) [Ep 5 · 0:20](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578?t=20)
- "The study utilized an 8-part perioperative care bundle" — Alex Halpern (clinical) [Ep 5 · 0:32](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578?t=32)
- "Children were split into either a high or low compliance group based on adherence to the care bundle" — Alex Halpern (clinical) [Ep 5 · 0:32](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578?t=32)
- "Children in the high compliance group had a statistically significant decrease in rates of superficial surgical site infection when compared to children in the low compliance group" — Alex Halpern (clinical) [Ep 5 · 0:41](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578?t=41)
- "Standardization of perioperative care may decrease morbidity and improve outcomes in colorectal surgery" — Alex Halpern (opinion) [Ep 5 · 0:41](https://library.globalcastmd.com/watch/standardized-perioperative-care-reduces-colorectal-surgical-site-infection-in-children-6578?t=41)
- "Surgical site infections are a costly yet modifiable source of morbidity, particularly within the neonatal population." — Sophie Carr (clinical) [Ep 4 · 1:55](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=115)
- "A growing body of evidence in adults suggests that chlorhexidine gluconate and isopropyl alcohol provide superior protection against SSIs than povidone." — Sophie Carr (host_summary) [Ep 4 · 2:15](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=135)
- "Equivalent data does not yet exist for the neonatal surgical population for CHG versus povidone antisepsis." — Sophie Carr (epidemiological) [Ep 4 · 2:28](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=148)
- "CHG antisepsis is commonly used for invasive non-surgical procedures in NICUs and for prevention of newborn nosocomial infections in developing countries." — Sophie Carr (host_summary) [Ep 4 · 2:35](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=155)
- "Current product labeling discourages CHG-IPA antisepsis in infants under two months of age due to limited safety data and concerns around adverse effects, particularly skin injuries." — Sophie Carr (host_summary) [Ep 4 · 2:48](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=168)
- "The neonatal skin antisepsis protocol included lower limits of 34 weeks post-conception age and 1500 grams weight, limited to general surgery patients only." — Sophie Carr (clinical) [Ep 4 · 3:30](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=210)
- "The protocol used either 2% or 0.5% CHG based on age cutoffs." — Sophie Carr (clinical) [Ep 4 · 3:45](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=225)
- "Skin integrity was assessed using a validated tool called the neonatal skin condition score." — Sophie Carr (clinical) [Ep 4 · 3:52](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=232)
- "Implementation of the protocol occurred in February 2020." — Sophie Carr (clinical) [Ep 4 · 4:15](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=255)
- "A total of 50 patients were included in the protocol, none of which experienced adverse skin prep outcomes." — Sophie Carr (clinical) [Ep 4 · 4:25](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=265)
- "8% of patients on the CHG protocol developed SSIs within the 30-day post-op period compared to 14% in the matched retrospective povidone cohort." — Sophie Carr (epidemiological) [Ep 4 · 4:35](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=275)
- "A comparison of SSI rates between the CHG versus povidone cohort revealed no significant difference." — Sophie Carr (epidemiological) [Ep 4 · 4:48](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=288)
- "The majority of cases were class two clean-contaminated cases." — Sophie Carr (clinical) [Ep 4 · 6:20](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=380)
- "The protocol was largely modeled off the McGill protocol used in Quebec, Canada, which used a lower age cutoff of 28 weeks gestational age with a lower weight cutoff of 1,000 grams." — Sophie Carr (clinical) [Ep 4 · 7:00](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=420)
- "Less than 28 weeks gestational age is the primary population affected by adverse skin reactions in the literature." — Sophie Carr (host_summary) [Ep 4 · 7:45](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=465)
- "The project was conducted in conjunction with multiple SSI reduction initiatives including optimizing antibiotic prophylaxis, using adherent draping, and implementing a clean closure bundle for class two clean-contaminated cases." — Sophie Carr (clinical) [Ep 4 · 8:00](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=480)
- "The clean closure bundle included changing gloves prior to closure." — Sophie Carr (clinical) [Ep 4 · 8:25](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=505)
- "The decrease in SSI rate from 14% to 8% was not statistically significant." — Sophie Carr (epidemiological) [Ep 4 · 9:43](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=583)
- "The protocol was used for all general surgery cases that did not have any open exposed mucosa and in which the patient was not allergic to CHG or IPA." — Sophie Carr (clinical) [Ep 4 · 9:55](https://library.globalcastmd.com/watch/paps-best-of-the-best-winner-5435?t=595)
- "Surgical site infections are a costly, yet modifiable source of morbidity, particularly within the neonatal population." — Sophie Carr (clinical) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "A growing body of evidence in adults suggests that chlorhexidine gluconate and isopropyl alcohol provide superior protection against SSIs than povidone iodine." — Sophie Carr (host_summary) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "Equivalent data does not yet exist for the neonatal surgical population comparing CHG-IPA to povidone iodine." — Sophie Carr (epidemiological) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "CHG antisepsis is commonly used for invasive non-surgical procedures in NICUs and for prevention of newborn nosocomial infections in developing countries." — Sophie Carr (host_summary) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "Current product labeling discourages CHG IPA antisepsis in infants under two months of age due to limited safety data and concerns around adverse effects, particularly skin injuries." — Sophie Carr (host_summary) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "The protocol inclusion was limited to general surgery patients with 34 weeks post conceptual age and 1500 grams as the lower age and weight limits." — Sophie Carr (clinical) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "Either 2% or 0.5% CHG solution was used based on age cutoffs." — Sophie Carr (clinical) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "Skin integrity was assessed using a validated tool called the neonatal skin condition score." — Sophie Carr (clinical) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "Implementation of the protocol occurred in February 2020." — Sophie Carr (clinical) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "A total of 50 patients were included, none of which experienced adverse skin prep outcomes." — Sophie Carr (clinical) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "8% of patients in the CHG cohort developed SSIs within the 30-day post-op period compared to 14% in the matched retrospective povidone cohort." — Sophie Carr (epidemiological) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "A comparison of SSI rates between the CHG versus PI cohort revealed no significant difference." — Sophie Carr (epidemiological) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=0)
- "The majority of cases were class two clean contaminated cases, which is more in keeping with the literature in terms of adult SSI reduction in use of CHG antisepsis." — Sophie Carr (clinical) [Ep 3 · 4:43](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=283)
- "The protocol was largely modeled off the McGill protocol used in Quebec, Canada, which used a lower age cutoff of 28 weeks gestational age with a lower weight cutoff of 1000 grams." — Sophie Carr (clinical) [Ep 3 · 4:43](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=283)
- "The primary adverse concern is skin reactions with less than 28 weeks gestational age being the primary population affected by those in the literature." — Sophie Carr (host_summary) [Ep 3 · 4:43](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=283)
- "The project was conducted in conjunction with initiatives including optimizing antibiotic prophylaxis, using adherent draping, and for class two clean contaminated cases, using a clean closure bundle including changing gloves prior to closure." — Sophie Carr (clinical) [Ep 3 · 4:43](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=283)
- "The decrease in SSI was not statistically significant." — Sophie Carr (epidemiological) [Ep 3 · 8:26](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=506)
- "The protocol applied to all general surgery cases that did not have any open exposed mucosa and in which the patient was not allergic to CHG or IPA." — Sophie Carr (clinical) [Ep 3 · 8:26](https://library.globalcastmd.com/watch/paps-optimizing-skin-antisepsis-for-neonatal-surgery-sophie-carr-5426?t=506)
- "In the latest adult surgical literature looking at whether mechanical bowel preparation reduces the rate of surgical site infections, they really haven't seen a benefit of doing mechanical bowel preparation." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "Multiple studies including a Cochrane review have shown no benefit of mechanical bowel preparation for reducing surgical site infections." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "Appropriate timing of preoperative intravenous antibiotics has strong data supporting its use." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "There is no strong data to support mechanical bowel prep decreasing leaks, decreasing hospital stay, or promoting early feeding." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "Some smaller case series exist on the use of oral antibiotics like Flagyl." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "Pre-operative IV antibiotics 30 minutes before starting the procedure has been shown to decrease the rate of surgical site infections in colorectal surgery." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "In adult studies, pre-operative oral antibiotics have been associated with reducing surgical site infections." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "The benefit of oral antibiotics for reducing SSIs hasn't been seen in recent pediatric colorectal retrospective studies." — Ellen (host_summary) [Ep 7 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-effects-of-mechanical-bowel-prep-on-ssis-2022-6765?t=0)
- "A prospective multicenter study included 336 patients from 10 different hospitals in the United States" — Carlos Colunga (host_summary) [Ep 6 · 0:00](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579?t=0)
- "The study investigated whether perioperative care bundles were effective in reducing surgical site infections in patients under 18 years who underwent colorectal surgery" — Carlos Colunga (host_summary) [Ep 6 · 1:00](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579?t=60)
- "Patients were divided into a high-compliance cohort and a low-compliance cohort depending on adherence to a care protocol consisting of eight elements" — Carlos Colunga (host_summary) [Ep 6 · 1:30](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579?t=90)
- "Surgical site infections occurred less frequently in patients in the high-compliance group, with a significant difference of 4% compared to an infection rate of 9.7% in the low-compliance group" — Carlos Colunga (host_summary) [Ep 6 · 1:50](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579?t=110)
- "None of the eight elements provided protection against surgical site infections on its own" — Carlos Colunga (host_summary) [Ep 6 · 2:20](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579?t=140)
- "Including these protocols in a standardized manner will lead to a lower rate of infections and therefore lower perioperative morbidity" — Carlos Colunga (host_summary) [Ep 6 · 2:35](https://library.globalcastmd.com/watch/el-cuidado-perioperatorio-estandarizado-reduce-las-infecciones-del-sitio-quir-rgico-en-ni-os-6579?t=155)
- "The study was published in the Journal of Pediatric Surgery" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629?t=0)
- "The objective was to determine whether intraoperative change in body temperature is associated with postoperative infections in infants" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629?t=0)
- "885 patients younger than six months who underwent different types of operations during a two-year period were retrospectively reviewed" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629?t=0)
- "Hyperthermia was defined as body temperature higher than or equal to 38 degrees Celsius at any time during the case or immediately after the operation" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629?t=0)
- "Hyperthermia was associated with a high odds ratio of developing surgical site infections within 30 days of surgery" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/medibyte-intraoperative-temperatures-impact-on-postoperative-infections-2629?t=0)
- "Surgical wound classification is regularly highlighted and discussed during M&M conferences" — Ray (host_summary) [Ep 1 · 0:00](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=0)
- "Surgical wound classification is followed closely due to its associated risk of surgical site infections" — Ray (host_summary) [Ep 1 · 0:20](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=20)
- "Wound classification is often used as a surrogate to assess quality of care" — Ray (host_summary) [Ep 1 · 0:35](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=35)
- "Evidence shows wounds continue to be misclassified on a regular basis" — Ray (host_summary) [Ep 1 · 0:45](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=45)
- "Butler and Rockstroh created a cheat sheet for wound classification of 114 common pediatric surgical procedures under their corresponding wound class" — Ray (host_summary) [Ep 1 · 0:55](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=55)
- "The educational intervention involved all pediatric surgeons and OR nurses attending a class with educational slide presentations and case discussions" — Ray (host_summary) [Ep 1 · 1:20](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=80)
- "Laminated posters of OR and wound classification algorithms and a reference list of pediatric procedures sorted by wound class were placed in each operating room" — Ray (host_summary) [Ep 1 · 1:40](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=100)
- "The study compared 200 cases before and 200 cases after the intervention, using the operative report to determine the most accurate wound classification based on CDC guidelines" — Ray (host_summary) [Ep 1 · 2:00](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=120)
- "The two study groups had equal number of class one wounds" — Ray (host_summary) [Ep 1 · 2:20](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=140)
- "Class two wounds were greater in the pre-intervention group" — Ray (host_summary) [Ep 1 · 2:28](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=148)
- "Classes three and four wounds were greater in the post-intervention group" — Ray (host_summary) [Ep 1 · 2:35](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=155)
- "The number of cases that had to be corrected decreased from 35% to 9%" — Ray (host_summary) [Ep 1 · 2:42](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=162)
- "The number of cases upgraded decreased from 24.5% to 9%" — Ray (host_summary) [Ep 1 · 2:52](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=172)
- "Appendectomies are one of the most commonly misclassified cases" — Ray (host_summary) [Ep 1 · 3:00](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=180)
- "For appendectomies, the number of wound classes corrected decreased from 48.4% to 11.1%" — Ray (host_summary) [Ep 1 · 3:08](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=188)
- "For appendectomies, the number of cases that needed to be upgraded decreased from 45% to 11%" — Ray (host_summary) [Ep 1 · 3:20](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=200)
- "Education on how to classify wounds can increase accuracy, thereby improving ability to assess the risk of surgical site infections" — Ray (host_summary) [Ep 1 · 3:32](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=212)
- "The wound classification of common pediatric surgical procedures created by Butler and colleagues may provide intraoperative guidance at other institutions" — Ray (host_summary) [Ep 1 · 3:50](https://library.globalcastmd.com/watch/improve-wound-misclassification-with-focused-education-1244?t=230)
- "The study was a retrospective cohort analysis examining the impact of ostomy in patients undergoing ileal pouch-anal anastomosis" — Cecilia Gigena (host_summary) [Ep 9 · 0:00](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999?t=0)
- "The study included 317 patients total: 238 in the ostomy group and 79 in the no-ostomy group" — Cecilia Gigena (host_summary) [Ep 9 · 0:00](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999?t=0)
- "There were no significant differences in surgical site infection rates between patients who received ostomy versus those who did not during IPAA" — Cecilia Gigena (host_summary) [Ep 9 · 0:00](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999?t=0)
- "There were no significant differences in postoperative abdominal drain rates between the ostomy and no-ostomy groups" — Cecilia Gigena (host_summary) [Ep 9 · 0:00](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999?t=0)
- "There were no significant differences in 30-day readmission rates between patients with and without ostomy during IPAA" — Cecilia Gigena (host_summary) [Ep 9 · 0:00](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999?t=0)
- "Ostomy may not always be necessary when performing ileal pouch-anal anastomosis" — Cecilia Gigena (host_summary) [Ep 9 · 0:00](https://library.globalcastmd.com/watch/el-papel-de-la-ostom-a-durante-la-creaci-n-del-pouch-ileal-coon-anastomosis-anal-en-la-colitis-ulcerosa-pedi-trica-jps-7999?t=0)
- "The study was a retrospective cohort study aimed at analyzing the true impact of performing an ostomy while doing an ileal pouch anastomosis." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)
- "The study included 317 patients total." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)
- "238 patients received a diverting ileostomy with the IPAA." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)
- "79 patients only received the IPAA without diversion." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)
- "There were no significant differences in surgical site infections between the diverted and non-diverted groups." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)
- "There were no significant differences in intra-abdominal post-operative drainage between the diverted and non-diverted groups." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)
- "There were no significant differences in 30-day readmission rates between the diverted and non-diverted groups." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)
- "The findings suggest that diverting ileostomy is not as mandatory as previously thought during IPAA." — Cecilia Higginah (host_summary) [Ep 8 · 0:00](https://library.globalcastmd.com/watch/the-role-of-diversion-during-ileal-pouch-anal-anastomosis-creation-in-pediatric-ulcerative-colitis-jps-7998?t=0)

## Changelog
- Sep 24: 10 items added automatically

---
Educational content from recorded physician discussions — not medical advice. Cite the canonical URL or the ?t= deep link. Policy: https://library.globalcastmd.com/ai