Appropriate and timely antibiotic dosing is one way to prevent surgical site infections in patients undergoing abdominal aortic aneurysm (AAA) repair, but additional methods are needed to prevent overuse of antibiotics.
According to an article in Emerging Infectious Diseases (April, 2001; 7(2): 220-224), additional approaches that may be used to reduce the risk of surgical site infections include standard procedures such as:
- control of blood glucose before, during, and after surgery
- no tobacco use within 30 days before surgery
- <FONT class=content>patient shower with antiseptic soap on night before surgery
- use of electric clippers instead of razors for necessary hair removal
Two additional approaches that are being used for some surgical procedures are:
- keeping body temperature close to normal (normothermia) instead of allowing it to drop during surgery
- supplemental oxygen
Keeping the body temperature normal has been shown to reduce infection rates for certain procedures, but it is not appropriate for all surgical procedures. The Institute for Healthcare Improvement recommends normothermia as an option for reducing surgical site infections.
According to an article in the Journal of the American Medical Association (JAMA) (October 26, 2005; 294(16): 2035-2042), supplemental oxygen before, during, and after surgery reduces surgical site infections for patients undergoing certain surgeries.