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Acta Neurochirurgica

, Volume 161, Issue 6, pp 1067–1068 | Cite as

Ensuring safe surgery is more than just tackling antimicrobial resistance: making the case for a skin preparation trial

In response to “The implementation of an infection bundle reduces surgical site infections following cranial surgery” (23 Oct 2018)
  • Joseph HamiltonEmail author
  • Hiren C. Patel
  • Benjamin M. Davies
Letter to the editor - Infection
Part of the following topical collections:
  1. Infection

Dear Editor,

The recent Public Health England report [12] has refocused UK attention on the impeding perils of antibiotic resistance, generating headlines such as 3million operations could be deadly if antibiotic resistance worsens [9]. Whilst the mainstream narrative has focused on strategies to reduce resistance, including specific government funding of £30million [6], it is also important attention is given to strategies that reduce our reliance on antibiotics; in the case of safe surgery, this includes skin preparation. With this in mind, we welcomed the work of Jörger et al. in further contributing to the effort to significantly reduce surgical site infection [SSI] in neurosurgery using a peri-operative bundle. This contained five steps; pre-operative octenadine wash by the patient, double octenadine pre-operative skin preparation, staff training, no prophylactic peri-operative cortisol administration and skin closure with glue. They achieved an impressive 50% reduction in SSI [

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.The University of Cambridge School of Clinical MedicineUniversity of CambridgeCambridgeUK
  2. 2.Department of NeurosurgerySalford Royal Foundation TrustSalfordUK
  3. 3.Department of NeurosurgeryAddenbrooke’s HospitalCambridgeUK

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