Health Quality & Safety Commission | Systematic review of a patient care bundle in reducing staphylococcal infections in cardiac and orthopaedic surgery
A review article, co-authored by members of the surgical site infection improvement (SSII) programme, has been published in the ANZ Journal of Surgery (February 2017).
The article summarises the systematic review of a patient care bundle in reducing staphylococcal infections in cardiac and orthopaedic surgery undertaken by the Royal Australasian College of Surgeons on behalf of the Commission.
Since the SSII programme began, several studies have reported the benefit of adding an 'anti-staphylococcal' bundle to reduce surgical site infections caused by staphylococci, notably Staphylococcus aureus. Staphylococcal infections cause the largest proportion of SSIs in New Zealand and globally. S. aureus accounts for about 30 percent of orthopaedic and cardiac SSIs identified in DHB patients.
Because of this burden of staphylococcal infection in New Zealand patients, the Commission contracted the Royal Australasian College of Surgeons to perform a systematic review and meta-analysis of the published literature on interventions aimed at reducing SSIs caused by Staphylococcus aureus. Pre-theatre skin and nasal decolonisation for both cardiac and orthopaedic surgical patients were the two specific interventions analysed in this review.
This work has formed the foundation for an anti-staphylococcal bundle the Commission is currently evaluating for the SSII programme.