Standardized perioperative care reduces colorectal surgical site infection in children: A Western Pediatric Surgery Research Consortium multicenter analysis
Topic overview
Multicenter study of 336 pediatric patients demonstrates that high compliance with an 8-element perioperative care bundle reduces superficial surgical site infections from 9.7% to 4% following colorectal surgery. Standardized protocols show promise for improving outcomes in pediatric colorectal procedures without affecting length of stay or other complications.
Key takeaways
- High compliance (5-8 elements) with standardized perioperative care bundle reduced superficial SSI from 9.7% to 4% in pediatric colorectal surgery
- No single bundle element was independently protective; the combined protocol approach was key to reducing surgical site infections
- Standardized perioperative protocols did not significantly affect length of stay, readmission, or major complications like anastomotic leak
- Multi-center study of 336 patients demonstrates feasibility of implementing colon bundle protocols across diverse pediatric surgery centers
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