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Preventing surgical site infection using operating room bundle of care in patients undergoing elective exploratory laparotomy cholecystectomy surgery

Erika Leslie R Magat
Erika Leslie R Magat
 and 
Josephine M De Leon
Josephine M De Leon
   | Sep 21, 2023
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Article Category: Original Article
Published Online: Sep 21, 2023
Page range: 335 - 345
Received: Jul 21, 2022
Accepted: Dec 15, 2022
DOI: https://doi.org/10.2478/fon-2023-0037
Keywords
© 2023 Erika Leslie R Magat et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

The conceptual framework of operating room bundle of care in the prevention of surgical site infection.
The conceptual framework of operating room bundle of care in the prevention of surgical site infection.

Figure 2.

Research framework.
Research framework.

Differences in patients’ wound status between control and experimental groups after application of the operating room bundle of care and usual care per day of evaluation.

Day of evaluation Mean SD Mann–Whitney P-value Interpretation
Day 1 Hemostasis phase 390 P = 0.355> 0.05 Not significant
   Control 28.13 1.48
Experimental 28.5 0.86
Day 2 Inflammatory phase 129.5 P = 0.000< 0.05 Significant
   Control 23.73 1.44
Experimental 21.45 1.54
Day 3 Proliferative phase 0 P = 0.000< 0.05 Significant
   Control 19.83 0.79
Experimental 15.83 0.75

Patients wound status based on BWAT in the control group.

BWAT score Day 1 Hemostasis phase Day 2 Inflammatory phase Day 3 Proliferative phase
F % F % F %
18.0 1 3.3
19.0 9 30.0
20.0 14 46.7
21.0 1 3.3 6 20.0
21.5 1 3.3
22.0 4 13.3
22.5 1 3.3
23.0 5 16.7
23.5 2 6.7
24.0 7 23.3
25.0 6 20.0
26.0 6 20.0 2 6.7
27.0 4 13.3 1 3.3
28.0 8 26.7
29.0 4 13.3
30.0 8 26.7
Total 30 100.0 30 100.0 30 100.0
Mean 28.13 23.73 19.83
SD 1.48 1.44 0.79
VI. Mild severity Mild severity Minimal severity

Patients’ wound status based on BWAT in the experimental group.

BWAT score Day 1 Hemostasis phase Day 2 Inflammatory phase Day 3 Proliferative phase
F % F % F %
15.0 11 36.7
16.0 13 43.3
17.0 6 20.0
18.0
19.0 5 16.7
20.0 4 13.3
21.0 2 6.7
21.5 1 3.3
22.0 11 36.7
22.5 1 3.3
23.0 4 13.3
23.5
24 1 3.3
24.5 1 3.3
25.0
26.0
27.0 2 6.7
28.0 16 53.3
29.0 7 23.3
30.0 5 16.7
Total 30 100.0 30 100.0 30 100.0
Mean 28.50 21.45 15.83
S.D. 0.86 1.54 0.75
VI Mild severity Mild severity Minimal severity

The day-to-day comparison of patients’ wound status after the application of usual care and operating room bundle of care.

Phases of wound healing process Mean SD Chi-square P-value
Control group 60 P = = 0.000<0.05*
   Hemostasis 28.13 1.48
   Inflammatory 23.73 1.44
   Proliferative 19.83 0.79
Experimental group 60 P = 0.000<0.05*
   Hemostasis 28.5 0.86
   Inflammatory 21.45 1.54
   Proliferative 15.83 0.75
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Language:
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