Preventing infections when we break the skin.
Common things we do. Prepping patients- most of us use ChoraPrep. This article supports this use. It cuts the rate of staph infection in half.
HERE
The issue also has a brief review of reducing infections from procedures. Excerpt- In an attempt to reduce surgical morbidity, the Surgical Infection Prevention Project and the Surgical Care Improvement Project have outlined evidence-based recommendations, bundling several strategies into a comprehensive approach. They include the initial administration of perioperative antibiotics within one hour before surgery, the preoperative use of hair clippers or no hair removal (as opposed to shaving of hair), and the maintenance of normothermia during colorectal surgery. In summary, the weight of evidence suggests that chlorhexidine–alcohol should replace povidone–iodine as the standard for preoperative surgical scrubs. ARTICLE HERE
So do we keep using shaves? Do we select Iodine because of habit??
Finally, where do you go to get new ideas or better ways of doing things? There are a lot of conferences. One that often does not get on the radar is the Wall Street Journal's World Health Care Congress series on topics that bring national and international leaders to discuss issues. They are great. http://www.worldcongress.com/Events/
Mayo will have a significant presence at the May 13th meeting on Chronic Disease Management, but they are all good! If you see a conference topic you would like to present at one of the congress meetings, please let me know and I will help you get in.
John
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