Outpatient Surgery Magazine

Helping Hand - July 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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of post-op infections. He seals incisions with topical glue and covers the wound area with an occlusive dressing, which remains in place for a week following surgery to keep the area sterile and to pro- tect the surgical site from contaminants that can cause infection. 5. Post-op diligence The challenge with outpatient surgery is the lack of monitoring once the patient leaves the facility and the potential risk for self-inoculation once the patient is home. If the patient who is colonized with S. aureus contaminates his hands from the nose and touches the wound during a dressing change, it's possible he's self-colonizing the wound area. To lower the risk of post-discharge infection, Dr. Sporer gives his patients another dose of oral antibiotic before discharge and sends them home with a dose of TXA. He sends patients with a high body- mass index (over 40 BMI) home with a 7-day course of antibiotics. OSM 8 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 9 "There's no doubt that decolonizing the nose before surgery lowers the risk of infection." — Scott Sporer, MD

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