CCHMC SSI Protocol

CCHMC SSI Protocol • A basic set of interventions to prevent SSIs among Class I and Class II surgical procedures o Included: All surgical procedures involving a skin incision Proposed measures: *For sub-set of procedures • S aureus screening and decolonization – Class I/II procedures with sterile implant, excludes ports and CVCs • Antibiotic timing – Class I/II procedures for which antibiotics are recommended • Normothermia – All patients ≤5kg Intervention Definition Pre-op Bathing 1 Soap & Water, 1 CHG bath both occurring within 24 hours of procedure Linen Change Clean bed linens and gown/pajamas changed night prior to procedure S aureus Screening* 2-site screening within 2-6 weeks of procedure Decolonization* Decolonization protocol if positive including additional CHG bathing and mupirocin Intra-op Skin prep Alcohol-containing product, CHG preferred Antibiotic timing* Complete within 60min p/t incision pCO2 ETCO2 ≥40 during procedure unless contraindicated Normothermia* Core temp at incision closure ≥36.0 Post-op Wound Care Plan Documented plan in an Epic order