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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (12): 50-55.doi: 10.16460/j.issn1008-9969.2023.12.050

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Construction of evidence-based practice protocol for prevention of surgical site infection in children with bone implantation

YANG Li-fen1,2a, ZHANG Mei-xue2a, LI Xi-ran3, WU Jian-ping2b, WANG Ning3   

  1. 1. School of Nuring,Southern Medical University ,Guangzhou 510440,China;
    2a. Operating Room;2b. Dept. of Pediatric Orthopedics, Guangzhou Women and Children's Medical Center, Guangzhou 510630, China;
    3. General Practice Center, The Seventh Affiliated Hospital of Southern Medical University, Foshan 528200, China
  • Received:2022-11-01 Online:2023-06-25 Published:2023-07-10

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Abstract: Objective To construct an evidence-based protocol for the prevention of surgical site infection (SSI) in children with bone implantation, and to provide reference and guidance for clinical practice. Methods Based on the theoretical guidance of JBI evidence-based healthcare model, we systematically searched domestic and international databases to obtain the literature pertaining to the prevention of SSI in children with bone implantation, evaluated the quality of the included literature, extracted and summarized the evidence from eligible literature. The initial version of the protocol was drawn up and a two-round Delphi procedure was carried out to develop the final version of the protocol. Results One evidence summary from a computerized decision-making system, six evidence-based clinical practice guidelines, one expert consensus, and four systematic evaluations were included. The evidence-based protocol for the prevention of SSI in children with bone implantation covered 32 items in 7 dimensions, including preoperative preparation, environmental control, disinfection and isolation, intraoperative management, implant management, postoperative care, and personnel training. The enthusiasm coefficient of the two rounds of expert consultation was 100%, the authority coefficient was>0.9, and the coordination coefficient was 0.355 (P<0.01) and 0.352 (P<0.01) respectively. Conclusion The evidence-based protocol for the prevention of SSI in children with bone implantation is developed based on a systematic review of evidence and Delphi method. It provides reference and guidance for the clinical practice.

Key words: children, orthopedics, implants, surgical site infection, evidence-based nursing, Delphi method

CLC Number: 

  • R473.72
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