Table 2.
Reported Adherence and Observed Compliance With SSI Prevention Measures
| SSI Prevention Measure | Reported Adherence, From Interviews (No. of Comments, N = 16 Interviews) |
Observed Compliance, From Data Collectors, No. (% of total) |
|---|---|---|
| Preoperative | ||
| MRSA screening | Not done (16) | 0 (0.0) |
| Pre-op bathing | At home maybe (2) In-wards sometimes (4) No (10) |
5 (26.3) |
| Antibiotic timing a | 30–60 min (12), At time of surgery for emergencies (4) |
18 (94.8) within 120 min of surgery |
| Antibiotic choice | Ceftriaxone (13) Metronidazole for certain procedures (4) |
|
| Hair not removed or removed with clippers b | Not removed at hospital (9)—appropriate Done by clipper in OR (1)—appropriate Done by razor in OR (4) Done by scissors in OR (1) Done at home (3) |
17 (89.5) |
| Intraoperative | ||
| Surgeon scrubs with soap and water OR alcohol scrub a | Usually soap/water (15) then alcohol based on availability (13) | 19 100) |
| Surgeon uses sterile gloves a | Yes (16) | 19 100) |
| Instruments documented sterile a | Yes (16) | 19 100) |
| Incision site skin prep in OR a | Povidone iodine (10) Alcohol if iodine runs out (16) Sometimes have to use normal saline only (1) |
19 (100) |
| Postoperative | ||
| Wound care order submitted | Surgeon writes order (8) Not done (4) |
19 (100) |
Note. SSI, surgical site infection; OR, operating room.
a
Core component of the Clean Cut Initiative.
b
WHO Guidelines recommend hair removal should generally NOT be performed prior to surgery, and if performed, should only be removed with dedicated sterile clippers. Shaving is strongly discouraged.