Dr. M Riyaz Lattoo will lead a prospective cohort study at Sheri-i-Kashmir Institute of Medical Sciences Soura to assess the impact of implementing an 8-step surgical care bundle on surgical site infection rates and patient recovery among patients undergoing elective major gastrointestinal surgeries over 2 years. The study aims to reduce SSIs and hospital stay by adhering to preoperative shower and hair removal, antibiotic prophylaxis, thorough skin preparation, normothermia, glycemic control, oxygenation, and postoperative antiseptic dressing changes. The primary outcome will be SSIs within 30 days and secondary outcomes include duration of stay, readmissions, and SSI classification. Benefits include reduced perioperative

1. Details of the Principal Investigator
Dr M RIYAZ LATTOO
Assistant Professor
Department of surgical Gastroenterology

2. Details of the Co-Investigators
Prof SADAF ALI
Professor and Head
Department of surgical
Gastroenterology
Dr MOHAMMAD YOUNUS BHAT
Assistant Professor
Department of surgical
Gastroenterology

3. Title of the study:
Implementing Surgical care bundle for prevention of Surgical Site
Infection – A Prospective Cohort Study
• Site(s) where study is to be conducted:
Sheri-i-Kashmir institute of Medical Sciences Soura

4. AIM AND OBJECTIVE
• To assess the surgical outcome after implementing surgical care bundle in GI
surgery in terms of SSI rate and recovery of patient

5. • Total estimated budget: nil
• Agency / Sponsor: NA
• Conflict of interest, if any: NONE
• Duration of the Project (months): 2 years
• Suggested date of starting the study: Ist October 2023
• Total number of patients to be accrued:
• From SKIMS: Total:
• Will biological products be sent out of:
SKIMS: NO Country: NO

6. Materials and Methods
Study Type
• This is a prospective observational single arm mono centric study
conducted in Department of Surgical Gastroenterology, SKIMS,
Srinagar over a period of 2 year.
Inclusion Criteria
• All patients undergoing elective Major GI surgeries
Exclusion Criteria
• Patients who refused to give consent.
Does the study involve vulnerable groups: YES
(Women / Children / Ethnic / others )

7. IMPLEMENTATION OF THE SURGICAL CARE
BUNDLE
1. Preoperative shower with antiseptic soln
2. Hair removal with a clipper in the operating room
3. Antibiotic prophylaxis 60 minutes prior to the operation.
4. Thorough decontamination of the skin using 4% chlorhexidine
scrub solution (contact time 5 minutes) Followed by 10%
povidone iodine skin paint ( contact time 3 minutes)followed by
in 70% isopropyl alcohol spray (Contact time 1 minute)
5. Maintain Normothermia
6. Glycemic Control (BSL <200)
7. Adequate Oxygenation in perioperative period.(SaO2 >95%)
8. Postoperative ASD with povidone-iodine, sucralfate,
metronidazole ointment on alternate days till patient is
discharged or pod 5 whichever is earlier.

8. Outcome measures
• Primary endpoint:
• SSIs within 30 days of surgery.
• Secondary endpoint:
• Duration of hospital stay
• Readmission rates
• Classify SSI
• Superficial/Deep/Organspace
• Need of intervention

9. Benefits of the Project / Study
• To SKIMS:
• Decrease the burden of
perioperative morbidty in
surgical patients
• To Study Subjects:
Decreased morbidity and
mortality related to SSI