Surgical Site Infections: what are the key infection prevention and control recommendations? Sandra Kendall Mary McDiarmid Bailey Urso 2016

Learning Objectives At the end of this activity participants should be able to: Copy and paste an existing search strategy into the Advanced Search Builder feature of PubMed. Create an alert for the search in My NCBI.

SSI antibiotic prophylaxis timing search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[MESH] 6 #1 OR #2 OR #3 OR #4 OR #5

Click on Add to history

7 Antibiotic Prophylaxis [MESH] 8 timing [tiab] 9 #6 AND #7 AND #8 10 limit #9 to english [la] AND humans

I clicked on Add below to put #1 here then I clicked on Add to history

I clicked on below to put #2 here then I clicked on

I used filters for humans and English

Skin prep to prevent SSI search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[MESH] 6 #1 OR #2 OR #3 OR #4 OR #5 7 Providone [mh] OR Chlorhexidine [mh] OR Anti-infective Agents, Local [mh] OR Providone-iodine [mh] OR Antisepsis [mh] 8 Surgical Wound Infections [mh] 9 Bacteremia [mh] 10 #8 OR #9 11 #6 AND #7 AND #10 12 Preoperative Period [mh] OR Preoperative Care [mh] 13 #11 AND #12 14 limit #13 to english [LA] AND humans

Oxygenation to prevent SSI search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[MESH] 6 #1 OR #2 OR #3 OR #4 OR #5 7 Perioperative Care [mh] OR Oxygen [mh] OR Postoperative Complications [mh] 8 Hemoglobins [mh] OR hemoglobins, Abnormal [mh] 9 Homeostasis [mh] 10 #7 OR #8 OR #9 11 Surgical Wound Infection [mh] 12 Bacteremia [mh] 13 #11 OR #12 14 #6 AND #10 AND #13 15 limit #14 to english [LA] 16 Perioperative oxygenation [tiab] 17 oxygen supplementation [tiab] 18 hyperoxygenation [tiab] 19 Hyperoxia [mh] 20 oxygen therapy [tiab] 21 #16 OR #17 OR #18 OR #19 OR #20 22 #15 AND #21

Surgical dressings SSI search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[mh] 6 #1 OR #2 OR #3 OR #4 OR #5 7 Surgical Wound Infection [mh] 8 Bacteremia [mh] 9 #7 OR #8 10 surgical dressing [tiab] 11 #6 AND #9 AND #10

Hand hygiene to prevent SSI search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[MESH] 6 #1 OR #2 OR #3 OR #4 OR #5 7 Surgical Wound Infection [mh] 8 Bacteremia [mh] 9 #7 OR #8 10 hand hygiene [tiab] 11 #6 AND #9 AND #10

Incise drapes to prevent SSI search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[MESH] 6 #1 OR #2 OR #3 OR #4 OR #5 7 Surgical Wound Infection [mh] 8 Bacteremia [mh] 9 #7 OR #8 10 Adhesives [mh] OR incise drapes [tiab] 11 #6 AND #9 AND #10

MSRA screening search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[MESH] 6 #1 OR #2 OR #3 OR #4 OR #5 7 Surgical Wound Infection [mh] 8 Bacteremia [mh] 9 #7 OR #8 10 shower [tiab] 11 Baths [mh] 12 bathing [tiab] 13 #10 OR #11 OR #12 14 #6 AND #9 AND #13

Pre-op showering search strategy 1 Surgical Procedures, Operative [MESH] 2 Arthroplasty, Replacement, Hip [MESH] OR Hip Prosthesis [MESH] 3 Cesarean Section [MESH] 4 Colorectal Surgery [MESH] 5 Knee Prosthesis[MESH] OR Arthroplasty, Replacement, Knee[MESH] 6 #1 OR #2 OR #3 OR #4 OR #5 7 Surgical Wound Infection [mh] 8 Bacteremia [mh] 9 #7 OR #8 10 shower [tiab] 11 Baths [mh] 12 bathing [tiab] 13 #10 OR #11 OR #12 14 #6 AND #9 AND #13

MY NCBI To register , add filters and use the MY NCBI options , you should directly access PubMed using the following address: www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed From the PubMed display , you will see the MY NCBI/Sign in box. Click on this MY NCBI box to Register. Note: if you try registering from HINARI/PubMed, HINARI blocks you from returning after working in MY NCBI. The ‘My NCBI’ feature allows you to set-up filter tabs in your display area, save searches, and set-up automatic email alerts to new articles added to PubMed. To register, click on the Register link in the ‘ My NCBI’ box on the top-right side of the webpage. A registration form will then open in a new window. Note: You will need to register only once and, after that, use the [Sign In] option. You will need to carefully follow the instructions in the next four slides.

You will be directed to the MY NCBI Sign In page You will be directed to the MY NCBI Sign In page. To register for MY NCBI, click on the Register for an account link. If you are already registered, you can click on MY NCBI Sign In.

You now have to fill in a short Registration page. Select a Username and a Password plus enter your E-mail address. Make sure this is written down for future reference. You also will need to set up a Security Question in case you forget your password.

For the 5 character image, enter this literally including capitals For the 5 character image, enter this literally including capitals. When the form is complete, click on Create account. Reminder: Make sure you write down your Username and Password.

After clicking on Create account, you will receive this message After clicking on Create account, you will receive this message. Go to your email account to confirm your email address.

Open a similar confirmation e-mail from My NCBI Open a similar confirmation e-mail from My NCBI. Click on the blue hypertext link to activate the new account..

To access My NCBI, you will need to Sign In with your Username and Password. Note: This is the process once you have registered and want to return to your My NCBI account.

To Sign in directly to NCBI, enter your NCBI Username and Password in the boxes and click on Sign in.

After signing in to My NCBI, the PubMed Search page will display your name and also give you a Sign Out option. To go to the MY NCBI page, click MY NCBI logo.

This is the MY NCBI page and includes many options that we will discuss – 1st Filters. Filters allow My NCBI users to identify sets of articles within search results. Open the Filters section by clicking on the Manage Filters. Make sure you keep the Filters for PubMed option.

My NCBI gives you the option to save or cancel the specific search My NCBI gives you the option to save or cancel the specific search. In this case, save the search. By saving this search, you can receive emails that list new citations on this subject.

The green check box notes the Save Search successful outcome The green check box notes the Save Search successful outcome. Next, click on the Yes, please button and Save. The following screen will be displayed.

My NCBI has confirmed that this search was saved My NCBI has confirmed that this search was saved. You now have the option to receive email updates or not receive updates (about the new articles published on this search topic). In this case, the email updates options chosen are: ‘Yes, please…Weekly’ on Saturday in the Abstract format (vs. text or MEDLINE) and receive 50 items. Select the options you want and click on the Save button.

When you return to the My NCBI page, you can see a list of the saved searches in the Saved Searches box. You can re-run a search by clicking on the title of the search. You also delete the search by clicking on Managed Saved Searches. The number of searches you can create is significant although you will end up receiving a considerable number of email messages.

Notes We have used regular PubMed to register and add the filters to your MY NCBI account. When want to make changes to your MY NCBI profile or add/save more searches, you must go to regular PubMed and open your MY NCBI account. (http://www.ncbi.nlm.nih.gov/pubmed/)