Surgical Infection Control: Prevention, Diagnosis, and Treatment in the OR MTA
Best practices for perioperative antibiotics, sterile technique, and postoperative infection management

About this book:

*Surgical Infection Control: Prevention, Diagnosis, and Treatment in the OR* provides a comprehensive framework for managing surgical site infections (SSIs) across the entire perioperative journey. The book establishes that effective infection control is not the result of a single intervention, but a coordinated "bundle" of evidence-based practices involving surgeons, anesthesiologists, nurses, and sterile processing staff. It begins by outlining the epidemiology and microbiology of SSIs, highlighting the significant economic and human burden these complications impose. By understanding the transition of commensal flora into opportunistic pathogens and the development of bacterial biofilms on implants, the text underscores why meticulous prevention is more effective than reactive treatment.

The core of the book focuses on proactive risk assessment and intraoperative management. It details strategies for patient optimization, including preoperative screening for *Staphylococcus aureus*, decolonization protocols, and the critical importance of precisely timed and weight-adjusted antimicrobial prophylaxis. Inside the operating room, the text emphasizes anesthesia’s vital role in maintaining physiological homeostasis—specifically normothermia, glycemic control, and tissue oxygenation—alongside strict environmental controls like air filtration, traffic management, and rigorous instrument sterilization. Specialized chapters address the unique challenges of minimally invasive, robotic, and implant-based procedures, where the risk of infection remains high despite smaller incisions.

Postoperatively, the book shifts toward vigilant monitoring and early diagnosis. It provides standardized diagnostic criteria for superficial, deep, and organ-space infections, emphasizing the necessity of obtaining microbiologic cultures before initiating therapeutic antibiotics. Management strategies prioritize "source control"—the surgical drainage of abscesses or removal of infected hardware—integrated with targeted antimicrobial stewardship to combat the rising threat of multidrug-resistant organisms like MRSA and CRE. The text advocates for shorter, more precise durations of therapy to minimize adverse effects and the development of further resistance.

In its final sections, the book addresses the systemic requirements for sustaining these safety standards. It outlines the role of quality improvement initiatives, such as the implementation of surgical safety checklists and robust surveillance audits, to reduce human error and practice variability. Recognizing the global nature of surgery, the text also offers adaptable strategies for resource-limited settings, ensuring that core safety principles—such as sterile technique and appropriate antibiotic use—can be maintained even in diverse clinical environments. Ultimately, the work serves as a practical guide for the entire surgical team to deliver safer care through continuous education and systemic vigilance.

What You'll Find Inside:

• Infection control as a coordinated bundle requiring reliable execution by the entire perioperative team, not just isolated interventions
• Evidence-based guidance on antimicrobial prophylaxis including agent selection, timing, redosing protocols, and dosing adjustments for special populations
• Comprehensive protocols for sterile technique, skin antisepsis, environmental controls, and instrument reprocessing to maintain asepsis in the OR
• Strategies for postoperative monitoring, early diagnosis of SSIs using clinical and laboratory markers, and microbiologic sampling techniques
• Management frameworks for complex infections including biofilms, device-related infections, prosthetic joint infections, and resistant pathogens like MRSA and CRE

Who's It For:

This book is designed for the entire perioperative team, including surgeons, anesthesiologists, nurses, infection preventionists, and sterile processing technicians. It serves as a practical reference for healthcare professionals developing OR policies, educating surgical residents, managing postoperative wounds on clinical rounds, or leading quality improvement initiatives across diverse surgical services and resource-limited settings.