• Jaime Ruiz Tovar and Josep M Badia.
• Sección de Infección Quirúrgica, Asociación Española de Cirujanos, España; Servicio de Cirugía, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España. Electronic address: jruiztovar@gmail.com.
• Cir Esp. 2014 Apr 1;92(4):223-31.

AbstractSurgical site infection (SSI) is associated with prolonged hospital stay, increased morbidity, mortality and sanitary costs, and reduced patients quality of life. Many hospitals have adopted guidelines of scientifically-validated processes for prevention of surgical site and central-line catheter infections and sepsis. Most of these guidelines have resulted in an improvement in postoperative results. A review of the best available evidence on these measures in abdominal surgery is presented. The best measures are: avoidance of hair removal from the surgical field, skin decontamination with alcoholic antiseptic, correct use of antibiotic prophylaxis (administration within 30-60 min before incision, use of 1(st) or 2(nd) generation cephalosporins, single preoperative dosis, dosage adjustments based on body weight and renal function, intraoperative re-dosing if the duration of the procedure exceeds 2 half-lives of the drug or there is excessive blood loss), prevention of hypothermia, control of perioperative glucose levels, avoid blood transfusion and restrict intraoperative liquid infusion.Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.

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