Titel: Systematic selection-procedure for surgical-site-infection-prevention-measures for a bundle approach with particular regard to implementation aspects
ID: 247/PRP
Art: Abstractautor
Session: P2
Antimicrobial Resistence and Drugs, Infection Prevention (FG PR)

Referent: Robin Otchwemah (Köln)

Abstract - Text


In the HYGARZT project the implementation and effectiveness of infection prevention measures (IPM) in traumatology and orthopedics by infection prevention link practitioners will be investigated. In the context of intervention-preparation a systematic selection procedure for surgical site infection (SSI) prevention measures, under special consideration of implementation aspects was developed.


The aim was to establish a systematic, practical workflow, for composing IPM bundles and planning their implementation, based on known, theoretical models.

 Materials & Methods & Results

Starting point was the building of an interdisciplinary team (IDT), which consisted of motivated representatives of the relevant occupational groups. All members committed themselves to aim of lowering the local infection rate. The IDT resolved the establishment of an infection surveillance system, to identify crucial problems. After the accomplishment, IDT identified SSIs as the main problem on the participating wards (PW) and conducted a systematic literature review to summarize possible prevention and implementation measures. The measures were ranked according to level of evidence and study quality. Additionally a situation analysis of the currently performed IPM and the compliance to them was accomplished on the PW. The IDT evaluated those IPMs, considering the results of the literature review and decided to dismiss, adjust, or unalteredly continue with them.  Furthermore the IDT analyzed the highly ranked and currently not performed IPM and estimated the proportion of local patients, who may benefit from them. After that a provisional bundle (PB) consisting of adjusted currently performed and new IPM was conducted.  During the first step of implementation planning, economic resources (materials, infrastructure, staff) and human factors (reactance and possible countermeasures) were calculated by IDT to estimate the feasibility of the PB. After that the bundle was modified accordingly to find the most efficient, but at the same time feasible, evidence based approach under local conditions. Then the second step of implementation planning started by assembling smaller work groups (WG) for detailed planning of the IPM. The results of these WGs were discussed, and adopted by the IDT and implemented afterwards.


We present a systematic workflow for the selection and implementation-planning of IPM, which may serve as a blueprint for future projects.