11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 Parallel Sessions 20 occurrence during brain tumor surgery. Methods: A randomized controlled experiment was conducted with 228 patients who underwent craniotomy for brain tumor surgery. The experimental group (n=114) received a comprehensive seven-step IPB, while the control group (n=114) did not. Patients were monitored for SSI based on established diagnostic criteria, and follow-up assessments were conducted at specific intervals. Results: The IPB group showed no instances of SSI, whereas the control group exhibited a 10.8% infection rate. SSI incidences in the control group included superficial incisions (2.3%), deep incisions (0.4%), organ cavities/intracerebral sites (2.3%), and secondary superficial incisions (0.4%). Coagulase-negative staphylococcus (CoNS) was the most prevalent pathogen identified in SSI cases. Logistic regression analysis showed that IPB utilization and suture removal duration were significantly associated with SSI. Conclusion: This study demonstrates the effectiveness of an IPB in reducing SSI occurrence in brain tumor surgery. Implementing this safe and cost-effective care bundle is recommended in healthcare facilities conducting such surgeries, with potential for broader application and larger sample sizes to enhance generalizability. 274 THE EFFECTS OF MAINTENANCE OF NORMOTHERMIA WITH ACTIVE WARMING ON SURGICAL SITE INFECTIONS IN PATIENTS UNDERGOING ABDOMINAL SURGERY Cemile Çelebi1, İkbal Çavdar2, Başak Altıparmak3, Okay Nazlı4 1Mugla Sıtkı Kocman University, Faculty of Health Sciences Department of Surgical Nursing, Muğla, Turkey, 2İstanbul Atlas University, Faculty of Health Sciences Department of Nursing, İstanbul, Turkey, 3Mugla Sıtkı Kocman University, Faculty of Medicine Department of Anesthesia and Reanimation, Muğla, Turkey, 4Mugla Sıtkı Kocman University, Faculty of Medicine Department of General Surgery, Muğla, Turkey Background: Unintended hypothermia is discussed as a risk for surgical site infections (SSI). Guidelines recommend the maintenance of normothermia during surgery to prevent SSI. Objectives: This randomized controlled trial was conducted to determine the effect of active warming on SSI in maintaining normothermia in patients undergoing abdominal surgery. Methods: The study included 48 patients who were scheduled for incisional hernia surgery between November 2019 and July 2022 and met the inclusion criteria. Patients were randomized two interventions, one control group. The first intervention group received an under-body blanket and the second group received a surgical access blanket. Patients in the intervention group began to warm up 30 minutes preoperative and continued to warm up for two hours both intraoperative and postoperative. Patients in the control group underwent routine procedures. In all groups, vital signs were evaluated every 15 minutes intraoperatively and postoperatively. A tympanic-thermometer was used to measure body temperature. Results: Surgical site infection was diagnosed in accordance with the criteria defined by the Centers for Disease Control and Prevention. The SSI rate was 6.3% the surgical access blanket group and 31.3% the control group, compared with no infections for the under-body blanket group. Intraoperative hypothermia was observed in control group patients. In 91.7% of the patients, drains were inserted, and in 68.8%, prolene sutures were employed. Patients having suture removal times of 12 days or longer and drain removal times of 7 days or longer were found to have SSI. Surgery site infections occurred in 37.5% of individuals who had a diabetes diagnosis. Conclusion: Both under-body and surgical access blankets were effective in maintaining normothermia, hypothermia was an independent risk factor for SSI and increased the risk of SSI 17.1-fold.
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