2026-06-14T05:08:15Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/142112025-06-09T10:47:17Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19612

00925njm 22002777a 4500 dc Zarain-Obrador, Leire author Alonso-García, Marcos author Gil-Yonte, Pablo author Hijas-Gomez, Ana Isabel author Rodríguez-Villar, Diego author Martínez-Amores, Brezo author Gil-de-Miguel, Ángel author Ruiz-Tovar, Jaime author Rodríguez-Caravaca, Gil author Durán-Poveda, Manuel author 2021 Background: Surgical site infections (SSI) have an important impact on morbidity and mortality. Objective: This study, therefore, sought to assess the effect of a surgical care bundle on the incidence of SSI in colorectal surgery. Methods: We conducted a quasi-experimental intervention study with reference to the introduction of a surgical care bundle in 2011. Our study population, made up of patients who underwent colorectal surgery, was divided into the following two periods: 2007-2011 (pre-intervention) and 2012-2017 (post-intervention). The intervention's effect on SSI incidence was analyzed using adjusted odds ratios (OR). Results: A total of 1,727 patients were included in the study. SSI incidence was 13.0% before versus 11.6% after implementation of the care bundle (OR: 0.88, 95% confidence interval: 0.66-1.17, p = 0.37). Multivariate analysis showed that cancer, chronic obstructive pulmonary disease, neutropenia, and emergency surgery were independently associated with SSI. In contrast, laparoscopic surgery proved to be a protective factor against SSI. Conclusions: Care bundles have proven to be very important in reducing SSI incidence since the measures that constitute these protocols are mutually reinforcing. In our study, the implementation of a care bundle reduced SSI incidence from 13% to 11.6%, though the reduction was not statistically significant. Rev Invest Clin. 2021;73(4):251-258 10.24875/RIC.21000067 0034-8376 Revista de Investigacion Clinica; organo del Hospital de Enfermedades de la Nutricion 33944860 http://hdl.handle.net/20.500.12105/14211 Surgical site infection Incidence Care bundle Colorectal surgery Effect of a Surgical Care Bundle on the Incidence of Surgical Site Infection in Colorectal Surgery: A Quasi-Experimental Intervention