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Patient preparation protocols – can they be improved ?
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Surgical site infections (SSI) are the burden of surgery. Prevention of SSI is a multimodal and multidisciplinary task since many factors occurring before, during and after the surgical procedure play a role in the development of SSI. Half of the factors involved in the development of SSI are said to be of endogenous source e.g. they originate from the patient itself. Aseptic preparation of the surgical fields is therefore of utmost importance. Like many other medical concepts, the way this has been done over the years has evolved and the understanding of certain risk factors now contributes to a better prevention of SSI, also in equine surgery.
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First concept:
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Increased risk of SSI in case of distant skin infection
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Postpone elective surgeries in case of presence of distant infections
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Second concept
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The skin is the first protective barrier against infection
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Respect the skins integrity at all points
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