{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T04:30:55Z","timestamp":1764131455981},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,9,2]],"date-time":"2016-09-02T00:00:00Z","timestamp":1472774400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study was performed to determine the impact of a surgical site infection (<jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content>) reduction strategy on <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> rates following colorectal resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>American College of Surgeons National Surgical Quality Improvement Program (<jats:styled-content style=\"fixed-case\">NSQIP<\/jats:styled-content>) data from 2006\u201314 were utilized and supplemented by institutional review board\u2010approved chart review. The primary end\u2010point was superficial and deep incisional <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content>. The inclusion criterion was colorectal resection. The <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> reduction strategy consisted of preoperative (blood glucose, bowel preparation, shower, hair removal), intra\u2010operative (prophylactic antibiotics, antimicrobial incisional drape, wound protector, wound closure technique) and postoperative (wound dressing technique) components. The <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> reduction strategy was prospectively implemented and compared with historical controls (pre\u2010<jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> strategy arm). Statistical analysis included Pearson's chi\u2010square test, and Student's <jats:italic>t<\/jats:italic>\u2010test performed with <jats:sc>spss<\/jats:sc> software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1018 patients, 379 were in the pre\u2010<jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> strategy arm, 311 in the <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> strategy arm and 328 were included to test durability. The study arms were comparable for all measured parameters. Preoperative wound class, operation time, resection type and stoma creation did not differ significantly. The <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> strategy arm demonstrated a significant decrease in overall <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> rates (32.19% <jats:italic>vs<\/jats:italic> 18.97%) and superficial <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> rates (23.48% <jats:italic>vs<\/jats:italic> 8.04%). Deep <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> and organ space rates did not differ. A review of patients testing durability demonstrated continued improvement in overall <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> rates (8.23%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The implementation of an <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> reduction strategy resulted in a 41% decrease in <jats:styled-content style=\"fixed-case\">SSI<\/jats:styled-content> rates following colorectal resection over its initial 3\u00a0years, and its durability as demonstrated by continuing improvement was seen over an additional 2\u00a0years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13145","type":"journal-article","created":{"date-parts":[[2015,10,13]],"date-time":"2015-10-13T00:27:29Z","timestamp":1444696049000},"page":"910-918","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Impact of a surgical site infection reduction strategy after colorectal resection"],"prefix":"10.1111","volume":"18","author":[{"given":"T. M.","family":"Connolly","sequence":"first","affiliation":[{"name":"Division of Colon and Rectal Surgery State University of New York Stony Brook NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Foppa","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery State University of New York Stony Brook NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Kazi","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery State University of New York Stony Brook NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. I.","family":"Denoya","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery State University of New York Stony Brook NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Bergamaschi","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery State University of New York Stony Brook NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200108000-00007"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31822ff8f0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2009.006"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31822cc0ad"},{"key":"e_1_2_7_6_1","unstructured":"Veterans\u2019 Administration Health\u2010Care Amendments of 1985 Pub L No 99\u2010166 99 Stat 941. (Dec 3 1985); Title II: Health\u2010Care Administration Sec. 201\u2013204."},{"key":"e_1_2_7_7_1","first-page":"519","article-title":"The National Veterans Administration Surgical Risk Study: risk adjustment for the comparative assessment of the quality of surgical care","volume":"180","author":"Khuri SF","year":"1995","journal-title":"J Am Coll Surg"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.06.138"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000124292.21605.99"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000219017.78611.49"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2004.10.001"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/30148464"},{"key":"e_1_2_7_13_1","first-page":"111","article-title":"New classification of physical status","volume":"24","author":"Dripps RD","year":"1963","journal-title":"Anesthesiology"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.117"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.140.2.174"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.12.001"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1086\/505220"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.04.042"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181ba782a"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-013-0677-3"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2012.02943.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199605093341901"},{"key":"e_1_2_7_23_1","unstructured":"New York State Department of Health (NYSDOH). (2014). Hospital\u2010Acquired Infections New York State 2013.https:\/\/www.health.ny.gov\/statistics\/facilities\/hospital\/hospital_acquired_infections\/."}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13145","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T06:56:50Z","timestamp":1696316210000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1111\/codi.13145"],"URL":"https:\/\/doi.org\/10.1111\/codi.13145","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]},"assertion":[{"value":"2015-02-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-08-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-09-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}