Even though it is difficult to pinpoint a single entity solely responsible for the patient's infection, multiple factors likely contributed including the patient.
What factors likely contributed?
Multiple factors likely contributed, which highlights the importance of a systems-based approach to learn from the situation and prevent future occurrences.
Patient factors:
Pre-existing conditions: Diabetes, IBS, and smoking significantly increase infection risk. Addressing these factors before surgery, through proper control and cessation of smoking, could lower the risk.
Wound care compliance: Irregular cleaning increases infection risk. Enhancing patient education on the importance of proper wound care and providing additional support mechanisms, like home care services, could improve compliance.
Surgical factors:
Surgical technique: While the information suggests standard precautions were taken, a thorough review of the surgical protocols might uncover potential vulnerabilities and opportunities for improvement in aseptic practices.
Implant quality: While rare, a review of the implant source and sterilization procedures could be conducted to rule out any unlikely but possible contamination issues.
Healthcare factors:
Post-operative instructions: While instructions were provided, their efficacy and clarity could be reviewed to ensure they were easily understood and actionable for the patient.
Patient education: The effectiveness of patient education on wound care and recognizing signs of infection could be evaluated and enhanced for future cases.
Follow-up care: The schedule and thoroughness of post-operative checkups could be reviewed to ensure timely identification and intervention for any potential issues.