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The financial cost

 

With an increasing number of C-sections being performed on an ever more complex patient group, managing SSIs is becoming more costly at a time when healthcare budgets are tighter and quality of care is closely scrutinised.

 


Increased length of stay, intensive management of complications, and associated re-admissions all add significant cost to a healthcare system. 1-4,6

The cost to the patient is even higher – the impact of SSIs on the wellbeing of new mothers at this important time in their lives can be devastating. 4

The use of PICO to reduce surgical site complications following C-section surgery has the potential to lead to improved outcomes whilst lowering the costs associated with post-operative management. 5

In a recent study, PICO was used on patients who were deemed to be high risk (high BMI) to reduce infections following C-section surgery.  The hospital during this time experienced no readmissions for these high risk patients and a 50% reduction in SSI rates post-surgery within the same group.  Data was collated through post-discharge surveillance with patients monitored for 30 days post operatively.  5

References

1. Health Protection Agency (2012) Risk of infection from caesareans at nearly 10 percent, http://www.hpa.org.uk/NewsCentre/NationalPressReleases/2012PressReleases/120801Infectionriskfromcsection/ accessed October 2012.
2. Hurd T. Evaluating the Costs and Benefits of Innovations in Chronic Wound Care Products and Practices. June 2013, Ostomy Wound Management 1-15.
3. Wloch C, Wilson J, Lamagni T, Harrington P, Charlett A, Sheridan E. Risk factors for surgical site infection following caesarean section in England: results   from a multicentre cohort study. BJOG 2012; 119(11):1324-33.
4. Harris J et al. Using a Multi-Faceted Active Change Process and Infection Prevention to Reduce Post Op C-Section Infections. Presented at the 27th Annual       Clinical Symposium on Advances in Skin & Wound Care (Las Vegas, 20-23 October 2013). 
5. Bullough L, Wilkinson D. Changing wound care protocols to reduce post-operative Caesarean section complications. (Presented at Wounds UK Annual   Conference, Harrogate 2012). 
6. Perencevich EN, Sands KE, Cosgrove SE, Guadagnoli E, Meara E, Platt R. Health and economic impact of surgical site infections diagnosed after hospital discharge. Emerg Infect Dis 2003;9(2):196-203.

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