Watch: Preventing surgical site infections

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This accredited group learning activity is a partnership between UNITAR, EBRS, CAGS, and the Global Surgery Foundation.

Discussion on the publication:

Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection

Date: 19 April 2023 at 16:00 CET/ 10:00 AM EDT/ 07:00 AM PDT

Background

This event examined the featured paper to discuss the practice of sterile glove and instrument change at the time of abdominal wound closure as a method for reducing the risk of surgical site infection (SSI), with a focus on implementing this practice in low-income and middle-income settings. SSIs are a well-known complication of abdominal surgery worldwide, with disproportionate impacts on patients in low- and middle-income settings. The evaluation of this paper aims to discuss the findings and whether this intervention demonstrates reasonable evidence for implementation in standard practice within low- and middle-income countries.

Objectives

Event objectives

1. Review the evidence supporting the practice of changing gloves and instruments prior to abdominal wound closure.

2. Critically appraise an article assessing the impact of glove and instrument change prior to wound closure on the incidence of surgical site infections.

3. Discuss strengths and weaknesses of the trial as well as challenges in potential implementation of this intervention.

Learning objectives

After the event, participants will be able to:

1. Describe the relationship between glove and instrument change before wound closure and risk of surgical site infection.

2. Describe the methodology utilized within this multicentre cluster-randomized and its strengths and limitations.

3. Describe potential challenges in implementation of this intervention and any additional studies that would affect the decision to pursue its implementation.

Agenda

Panelists

Moderators

1. Mrs. Nefti Bempong-Ahun, Project Manager, the GSF

2. Dr. Elijah Dixon, Head of General Surgery, University of Calgary, Canada

3. Dr. Carl Brown, Chair of Colorectal Surgery, University of British Columbia, Canada

Panelists

1. Dr. Mohit Bhandari, Professor and Chair, Department of Surgery, McMaster University, Canada

2. Dr. Emilie Joos, Trauma and Acute Care Surgeon & Program Director, Trauma and Acute Surgery Fellowship, University of British Columbia, Canada

3. Dr. Julia Ferreira, Pediatric Surgeon, Brazil  

Target audience

Practitioners, researchers and trainees interested in learning more about the practice of sterile glove and instrument change at the time of abdominal wound closure as a method for reducing the risk of surgical site infection. 

Accreditation

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification (MoC) Program of the Royal College of Physicians and Surgeons of Canada and approved by Canadian Association of General Surgeons. You may claim a maximum of 1 credit. The Royal College of Physicians and Surgeons of Canada MoC credits are recognized through agreement by the following international organizations:

• American Medical Association (AMA)

• The European Board for Accreditation in Cardiology (EBAC)

• European Union of Medical Specialists - European Accreditation Council for CME (UEMS-EACCME)

• Qatar Council for Healthcare Practitioners, Ministry of Public Health (QCHP)
  

  Please contact CAGS for further information regarding the certificate at learn@cags-accg.ca  

The event was organised as a collaboration of

Resources

Watch recording

Download the agenda

Download the event report

Download the publication

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