Preoperative oral hygiene recommendation before open-heart surgery: patients’ adherence and reduction of infections

a quality improvement study

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Aim: To implement recommendations for oral hygiene before elective open-heart surgery in a thoracic surgery ward and to evaluate whether the number of patients who needed to be treated with antibiotics postoperatively was reduced.

Background: Healthcare systems are challenged to implement initiatives that reduce the development of nosocomial infections, to offer patients a safe and cost-efficient treatment and to reduce the use of antibiotics. Previous interventions have focused on staff behaviour in reducing postoperative infections. In this study, patients were recommended to carry out oral hygiene as recommended in a clinical guideline.

Methods: A quasiexperimental design with a control and an intervention group was used. Information on adherence to the recommendation was collected at admission. All medical information and prescriptions of antibiotics were obtained from patients' medical records. Data were reported as intention to treat.

Results: Altogether 972 patients (506 controls and 466 interventions) were included in the study. Of the intervention patients, 405 (86.9%, 95% CI 83.3 to 89.8) reported that they had adhered to the oral hygiene recommendation. 64 (12.6%) control patients and 36 (7.7%) in the intervention group (p=0.015) were treated with antibiotics postoperatively.

Conclusions: It was feasible to involve patients in a programme for oral hygiene and thereby reduce the number of patients needing antibiotics after open-heart surgery and this might contribute to reducing costs.

Original languageEnglish
Article numbere000512
JournalBMJ Open Quality
Volume8
Issue number2
Pages (from-to)1-8
Number of pages8
ISSN2399-6641
DOIs
Publication statusPublished - 2019

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Oral Hygiene
Patient Compliance
Quality Improvement
Thoracic Surgery
Infection
Anti-Bacterial Agents
Cross Infection
Health Care Costs
Medical Records
Prescriptions
Guidelines
Delivery of Health Care
Costs and Cost Analysis
Control Groups

Cite this

@article{7c44d05bdcc44f2f9567821aa6de4a59,
title = "Preoperative oral hygiene recommendation before open-heart surgery: patients’ adherence and reduction of infections: a quality improvement study",
abstract = "Aim: To implement recommendations for oral hygiene before elective open-heart surgery in a thoracic surgery ward and to evaluate whether the number of patients who needed to be treated with antibiotics postoperatively was reduced.Background: Healthcare systems are challenged to implement initiatives that reduce the development of nosocomial infections, to offer patients a safe and cost-efficient treatment and to reduce the use of antibiotics. Previous interventions have focused on staff behaviour in reducing postoperative infections. In this study, patients were recommended to carry out oral hygiene as recommended in a clinical guideline.Methods: A quasiexperimental design with a control and an intervention group was used. Information on adherence to the recommendation was collected at admission. All medical information and prescriptions of antibiotics were obtained from patients' medical records. Data were reported as intention to treat.Results: Altogether 972 patients (506 controls and 466 interventions) were included in the study. Of the intervention patients, 405 (86.9{\%}, 95{\%} CI 83.3 to 89.8) reported that they had adhered to the oral hygiene recommendation. 64 (12.6{\%}) control patients and 36 (7.7{\%}) in the intervention group (p=0.015) were treated with antibiotics postoperatively.Conclusions: It was feasible to involve patients in a programme for oral hygiene and thereby reduce the number of patients needing antibiotics after open-heart surgery and this might contribute to reducing costs.",
author = "Pedersen, {Preben Ulrich} and Anita Tracey and Sindby, {Jesper Eske} and Merete Bjerrum",
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Preoperative oral hygiene recommendation before open-heart surgery: patients’ adherence and reduction of infections : a quality improvement study. / Pedersen, Preben Ulrich; Tracey, Anita; Sindby, Jesper Eske; Bjerrum, Merete.

In: BMJ Open Quality, Vol. 8, No. 2, e000512, 2019, p. 1-8.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Preoperative oral hygiene recommendation before open-heart surgery: patients’ adherence and reduction of infections

T2 - a quality improvement study

AU - Pedersen, Preben Ulrich

AU - Tracey, Anita

AU - Sindby, Jesper Eske

AU - Bjerrum, Merete

PY - 2019

Y1 - 2019

N2 - Aim: To implement recommendations for oral hygiene before elective open-heart surgery in a thoracic surgery ward and to evaluate whether the number of patients who needed to be treated with antibiotics postoperatively was reduced.Background: Healthcare systems are challenged to implement initiatives that reduce the development of nosocomial infections, to offer patients a safe and cost-efficient treatment and to reduce the use of antibiotics. Previous interventions have focused on staff behaviour in reducing postoperative infections. In this study, patients were recommended to carry out oral hygiene as recommended in a clinical guideline.Methods: A quasiexperimental design with a control and an intervention group was used. Information on adherence to the recommendation was collected at admission. All medical information and prescriptions of antibiotics were obtained from patients' medical records. Data were reported as intention to treat.Results: Altogether 972 patients (506 controls and 466 interventions) were included in the study. Of the intervention patients, 405 (86.9%, 95% CI 83.3 to 89.8) reported that they had adhered to the oral hygiene recommendation. 64 (12.6%) control patients and 36 (7.7%) in the intervention group (p=0.015) were treated with antibiotics postoperatively.Conclusions: It was feasible to involve patients in a programme for oral hygiene and thereby reduce the number of patients needing antibiotics after open-heart surgery and this might contribute to reducing costs.

AB - Aim: To implement recommendations for oral hygiene before elective open-heart surgery in a thoracic surgery ward and to evaluate whether the number of patients who needed to be treated with antibiotics postoperatively was reduced.Background: Healthcare systems are challenged to implement initiatives that reduce the development of nosocomial infections, to offer patients a safe and cost-efficient treatment and to reduce the use of antibiotics. Previous interventions have focused on staff behaviour in reducing postoperative infections. In this study, patients were recommended to carry out oral hygiene as recommended in a clinical guideline.Methods: A quasiexperimental design with a control and an intervention group was used. Information on adherence to the recommendation was collected at admission. All medical information and prescriptions of antibiotics were obtained from patients' medical records. Data were reported as intention to treat.Results: Altogether 972 patients (506 controls and 466 interventions) were included in the study. Of the intervention patients, 405 (86.9%, 95% CI 83.3 to 89.8) reported that they had adhered to the oral hygiene recommendation. 64 (12.6%) control patients and 36 (7.7%) in the intervention group (p=0.015) were treated with antibiotics postoperatively.Conclusions: It was feasible to involve patients in a programme for oral hygiene and thereby reduce the number of patients needing antibiotics after open-heart surgery and this might contribute to reducing costs.

U2 - 10.1136/bmjoq-2018-000512

DO - 10.1136/bmjoq-2018-000512

M3 - Journal article

VL - 8

SP - 1

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JO - BMJ Open Quality

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SN - 2399-6641

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