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状态: Closed
奖金: $10
参赛作品已收到: 3
获胜者: maidang34

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竞赛简介

need a poster with this information, add surgery pictures to match theme of this topic. be creative.

PICO(TS) Question:
In patients undergoing gastrointestinal surgeries, how does the implementation of standardized postoperative wound care protocols compared to usual care influence the occurrence of surgical site infections within 14 days post-surgery in a surgical ward setting?

Methods:
Level of Evidence: Meta-analysis of 28 studies.
Sample Characteristics: 6026 subjects undergoing lower gastrointestinal surgery.
Settings, Instruments, and Procedures: Various countries, wound protectors used in standardized postoperative wound care protocols compared to usual care.
Strengths: Large sample size, meta-analysis design providing robust evidence.
Weaknesses: Heterogeneity in study settings and populations, potential for publication bias.

Search Results:
Databases: PubMed, Cochrane Library.
Search Strategies: Keywords included "postoperative wound care," "surgical site infections," "gastrointestinal surgery," "wound protectors."
Publications Reviewed: Numerous.

Synthesis of Findings (Results):
Both single-ring and dual-ring wound protectors significantly reduce surgical site infection rates compared to no protector.
Effect sizes: Single-ring OR = 0.53, Dual-ring OR = 0.44.
Statistical significance supported by p-values (<0.05) and confidence intervals not including 1.

Discussion:
Implications: Strong evidence supporting standardized postoperative wound care protocols to reduce surgical site infections in gastrointestinal surgeries.
Further Research: Investigation into specific protocols' elements' impacts on infection rates.
Clinical Practice: Implementation can lead to improved patient outcomes, reduced costs, and shorter hospital stays.

Practice Recommendation:
Implementation of standardized postoperative wound care protocols, including the use of wound protectors, is recommended for gastrointestinal surgery patients to reduce surgical site infections.

Implementation Strategy:
Education: Provide training to healthcare staff on standardized protocols and proper use of wound protectors.
Protocol Integration: Incorporate standardized protocols into surgical ward procedures.
Monitoring: Regularly assess adherence to protocols and monitor infection rates post-implementation.

Evaluation:
Outcomes: Reduced surgical site infection rates, shorter hospital stays, decreased healthcare costs.
Measurement: Compare infection rates pre- and post-implementation, track length of hospital stays and associated costs.

Reference:
Mao L, Zhou S, Liao J, Zhou X, Wang J. Effect of wound protectors in reducing the incidence of surgical site wound infection in lower gastrointestinal surgery: A meta-analysis. Int Wound J. 2023 Mar;20(3):813-821. doi: 10.1111/iwj.13928. Epub 2022 Sep 18. PMID: 36117245; PMCID: PMC9927917.