Preventing Surgical Site Infections after Bariatric Surgery: Value of Perioperative Antibiotic Regimens

Teena Chopra; Jing J Zhao; George Alangaden; Michael H Wood; Keith S Kaye

Disclosures

Expert Rev Pharmacoeconomics Outcomes Res. 2010;10(3):317-328. 

In This Article

Surgical-site Infection Prevention

General Preventative Measures

Many SSI prevention measures are described in detail in the current guidelines. These measures include treating all existing infections prior to surgery, minimizing hair removal preoperatively (and if required, removing hair immediately prior to surgery using clippers), achieving appropriate glucose control during the preoperative period, maintaining normothermia during the perioperative period, applying antiseptic skin preparation appropriately prior to surgery, ensuring proper hand/forearm antisepsis for surgical team members, maintaining a sterile field in the operating room and providing appropriate antimicrobial prophylaxis.[13,40,41] Expert surgical technique, including methods of wound closure can also impact SSI risk.[42] Most of these recommendations for the prevention of SSIs apply to bariatric surgery. However, some facets of prevention, such as the provision of adequate antimicrobial prophylaxis, present challenges in the obese patient population.

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