Advertisement

Economic evaluation of pre-operative shower with antiseptic soap to prevent surgical site infections

Published:March 22, 2022DOI:https://doi.org/10.1016/j.jhin.2022.01.026

      Summary

      Background

      A pre-operative shower is recommended before surgery to prevent surgical site infections (SSIs).

      Methods

      We modelled the occurrence of SSIs and the potential savings for patients undergoing an antimicrobial soap (AS) shower prior to surgery at a French University Hospital level.

      Results

      AS shower prevented 209 SSIs, generating a potential saving of €632,210 per year. Results grouped by type of surgery showed annual savings of €26,537, €20,520 and €14,377 for orthopaedic, gynaecologic and obstetric, and digestive surgery, respectively.

      Conclusions

      Despite the lack of published data surrounding the efficacy of AS in preventing SSIs, we demonstrated the potential savings and benefits of generalizing AS before surgical interventions.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hospital Infection
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Healthcare-associated infections: surgical site infections – Annual Epidemiological Report for 2017. European Centre for Disease Prevention and Control, 2019 (Available at:) ([last accessed September 2020])
        • Defez C.
        • Fabbro-Peray P.
        • Cazaban M.
        • Boudemaghe T.
        • Sotto A.
        • Daurès J.P.
        Additional direct medical costs of nosocomial infections: an estimation from a cohort of patients in a French university hospital.
        J Hosp Infect. 2008; 68: 130-136
        • WHO
        Global guidelines on the prevention of surgical site infection.
        WHO, 2016 (Available at:) ([last accessed September 2020])
        • Kline S.E.
        • Sanstead E.C.
        • Johnson J.R.
        • Kulasingam S.L.
        Cost-effectiveness of pre-operative Staphylococcus aureus screening and decolonization.
        Infect Control Hosp Epidemiol. 2018; 39: 1340-1346
        • Webster J.
        • Osborne S.
        Preoperative bathing or showering with skin antiseptics to prevent surgical site infection.
        Cochrane Database Syst Rev. 2015; : CD004985
        • Santé Publique France
        Surveillance des infections du site opératoire dans les établissements de santé : Réseau ISO-Raisin, France.
        Résultats, 2017 (Available at:) ([last accessed September 2020])
        • Rioux C.
        • Grandbastien B.
        • Astagneau P.
        Impact of a six-year control programme on surgical site infections in France: results of the INCISO surveillance.
        J Hosp Infect. 2007; 66: 217-223
        • Fabbro-Peray P.
        • Sotto A.
        • Defez C.
        • Cazaban M.
        • Molinari L.
        • Pinède M.
        • et al.
        Mortality attributable to nosocomial infection: a cohort of patients with and without nosocomial infection in a French university hospital.
        Infect Control Hosp Epidemiol. 2007; 28: 265-272
        • Forget V.
        • Fauconnier J.
        • Boisset S.
        • Pavese P.
        • Vermorel C.
        • Bosson J.-L.
        • et al.
        Risk factors for Staphylococcus aureus surgical site infections after orthopaedic and trauma surgery in a French university hospital.
        Int J Hyg Environ Health. 2020; 229: 113585
        • Penel N.
        • Lefebvre J.-L.
        • Cazin J.L.
        • Clisant S.
        • Neu J.-C.
        • Dervaux B.
        • et al.
        Additional direct medical costs associated with nosocomial infections after head and neck cancer surgery: a hospital-perspective analysis.
        Int J Oral Maxillofac Surg. 2008; 37: 135-139