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    Does Care Bundles Reduce the Surgical Site Infection Risk on Patients Applied Colorectal Surgical Treatment?
    (Düzce Üniversitesi, 2017) Kandemir, Didem; Seyhan Ak, Ezgi; Ayoğlu, Tuluha
    Surgical site infections lead to serious problems because of increased morbidity and mortality, prolonged hospitalization, re-admission to the hospital, and overuse of health resources. Surgical site infections are classified into three groups as superficial, deep and organ/space. Superficial surgical site infections are defined as 30 days following the surgical procedure; deep and organ/space surgical site infections are seen within 30 or 90 days after the surgical procedure that is defined as infections related to the surgical incision and the field that is opened or manipulated. Colorectal surgery is one of the areas with the highest incidence of surgical site infection. The incidence of surgical site infections, especially after colorectal surgery due to the fact that it is an unclean area, is reported to be between 5% and 27% in various studies. Care bundles that are reported to be effective in improving the clinical outcomes of patients who undergo colorectal surgery are a method that requires the simultaneous and thorough implementation of scientifically proven procedures in a bundle. It is stated that in many studies examined the effectiveness of care bundles in the prevention of surgical site infections in patients undergoing colorectal surgery; treatment and maintenance interventions such as protection of body temperature from normal limits, glycemic control, timely and appropriate antibacterial prophylaxis are the basis of the care bundle but are not sufficient to reduce the risk of general infections; and evidence-based initiatives such as oxygen support, wound dressers, a special wound closure tray, and the use of antibacterial sutures should also added to the bundle. Consequently, it is important that the care bundle is continuously assessed to ensure patient safety and increase quality of the care provided; and is continuously updated to add new applications that evidence-based to the care bundle.