Impact of multipronged interventions targeting healthcare professionals in reducing surgical site infections and identifying the challenges in adoption of these interventions- an implementation research
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 入组人数
- 6,860
- 试验地点
- 7
- 主要终点
- The rate of surgical site infection till 30 days after surgery (90 days if implant) using CDC definition of SSI in pre-intervention versus post-intervention phase for clean, clean-contaminated and contaminated surgeries
研究概览
简要总结
The study is "Impact of multipronged interventions targeting healthcare professionals in reducing surgical site infections and identifying the challenges in adoption of these interventions."
Multicentric study (7 sites in India) with mixed method design.
Phase-I will involve formative research and practice analysis. Phase-II will involve co-development of the multipronged interventions. Phase-III will involve deployment of the multipronged interventions and process evaluation. Phase-IV will involve impact assessment and dissemination of results.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 1.00 Year(s) 至 85.00 Year(s)（—）
- 性别
- All
入选标准
- •Surgical patients undergoing elective or emergency procedure (open or laparoscopic) under general surgery, neurosurgery, orthopedics, pediatric surgery, plastic surgery, urology.
排除标准
- 未提供
结局指标
主要结局
The rate of surgical site infection till 30 days after surgery (90 days if implant) using CDC definition of SSI in pre-intervention versus post-intervention phase for clean, clean-contaminated and contaminated surgeries
时间窗: The rate of surgical site infection till 30 days after surgery (90 days if implant) using CDC definition of SSI in pre-intervention versus post-intervention phase for clean, clean-contaminated and contaminated surgeries
次要结局
- The number of ICU admissions averted and number of readmissions averted in clean, clean-contaminated and contaminated surgeries by adoption of multipronged interventions(30 days after surgery)
- The length of index hospital admission in pre-intervention and intervention phase for clean, clean-contaminated and contaminated surgeries.(post-operatively)
- The antimicrobial consumption indicators (Days of therapy) in the pre-intervention and intervention phase for clean, clean-contaminated and contaminated surgeries(peri-operative period)
- The percentage of patients receiving single dose of antimicrobial prophylaxis in the pre-intervention and intervention phase for clean, clean-contaminated and contaminated surgeries(Peri-operative period)
- The percentage of patients receiving prolonged antimicrobial prophylaxis in the pre-intervention and intervention phase for clean, clean-contaminated and contaminated surgeries(Peri-operative period)
- The percentage of irrational combinations of drugs (double gram positive, double gram negative or double anaerobic coverage) for surgical antimicrobial prophylaxis in the pre-intervention and intervention phase for clean, clean-contaminated and contaminated surgeries(Peri-operative period)
- The number of deaths prevented in clean, clean-contaminated and contaminated surgeries by adoption of multipronged interventions(30 days after surgery)
- Acceptance of these multipronged interventions and challenges in their implementation by healthcare professionals(Peri-operative)
研究者
Dr Rachna Rohilla
All India Institute of Medical Sciences, Bathinda