Dr. Xavier Guirao

Endocrine Surgery

Head of Unit of Endocrine and /HeadNeck Surgery at the Parc Tauli, Hospital Universitari, Barcelona, Spain.

Spain

Biography

His surgical activity has been developed in the field of General and the Endocrine Surgery performing thyroid, parathyroid and open and laparoscopic suprarrenal surgery, being recently awarded with the European Board in Endocrine Surgery. Hi has been also active in the field of surgical infections. He has been leading the Department of Surgical Research, mentoring residents, and teaching students as a Professor of Medicine at the International University of Catalonia since 2010. Member of Surgical Infection Society-Europe (SIS-E) and the International Surgical Infections Society Group (ISIS). Also, he has served as a President of the Spanish Surgical Infections Society and actually he is a reviewer for peer review journals, such British Journal of Surgery, Critical Care Medicine and Cirugía Española.

Publications

Selected publications from PubMed

European Society of Clinical Microbiology and Infectious Diseases/European Committee on infection control clinical guidelines on pre-operative decolonization and targeted prophylaxis in patients colonized by multidrug-resistant Gram-positive bacteria before surgery.

Righi E, Mutters NT, Guirao X, Dolores Del Toro M, Eckmann C, Friedrich AW, Giannella M, Presterl E, Christaki E, Cross ELA, Visentin A, Sganga G, Tsioutis C, Tacconelli E, Kluytmans J

Clin Microbiol Infect. 2024 Dec;30(12):1537-1550 doi: 10.1016/j.cmi.2024.07.012.

Appropriate Use of Antibiotics in Acute Pancreatitis: A Scoping Review.

Badia JM, Amador S, González-Sánchez C, Rubio-Pérez I, Manuel-Vázquez A, Juvany M, Membrilla E, Balibrea JM, Guirao X

Antibiotics (Basel). 2024 Sep 18;13(9) doi: 10.3390/antibiotics13090894.

Genetic testing for familial hyperparathyroidism: clinical-genetic profile in a Mediterranean cohort.

Mazarico-Altisent I, Capel I, Baena N, Bella-Cueto MR, Barcons S, Guirao X, Pareja R, Muntean A, Arsentales V, Caixàs A, Rigla M

Front Endocrinol (Lausanne). 2023;14:1244361 doi: 10.3389/fendo.2023.1244361.

ESCMID/EUCIC clinical practice guidelines on perioperative antibiotic prophylaxis in patients colonized by multidrug-resistant Gram-negative bacteria before surgery.

Righi E, Mutters NT, Guirao X, Del Toro MD, Eckmann C, Friedrich AW, Giannella M, Kluytmans J, Presterl E, Christaki E, Cross ELA, Visentin A, Sganga G, Tsioutis C, Tacconelli E

Clin Microbiol Infect. 2023 Apr;29(4):463-479 doi: 10.1016/j.cmi.2022.12.012.

Surgical Infection Reduction Program of the Observatory of Surgical Infection (PRIQ-O): Delphi prioritization and consensus document on recommendations for the prevention of surgical site infection.

Badia JM, Del Toro MD, Navarro Gracia JF, Balibrea JM, Herruzo R, González Sánchez C, Lozano García J, Rubio Pérez I, Guirao X, Soria-Aledo V, Ortí-Lucas R, Surgical Location Infection Prevention Program Working Group of the Observatory of Infection in Surgery

Cir Esp (Engl Ed). 2023 Apr;101(4):238-251 doi: 10.1016/j.cireng.2022.11.009.

Featured in

21 min

Basics of Surgical Site Infection Prevention

Surgical Site Infection (SSI) is one of the most common postoperative complications. Recent reports from the United States of America, France and the United Kingdom found that around 4% of the patients develop hospital-acquired infections, and around 20% of these develop an SSI. SSI represents a significant global health issue that can lead to significant morbidity, reintervention, and even death. The occurrence of SSI is associated with an increased hospital stay and, in a recent report from the UK, with an additional cost of GBP 5239. Dr. Xavier Guirao, Head of the Endocrine, Head and Neck Surgery Unit at Parc Tauli (Barcelona, Spain) reviews the basics of prevention of surgical site infection, remembering that the measures for SSI prevention are implemented in an extended period of time in different scenarios and they involve several actors. He reviews the current evidence on decreasing the patient’s skin flora, decreasing the patient’s enteric flora and decreasing surgical site contamination. Also, a thorough explanation on the necessity of antibiotic prophylaxis and its doses and timing is given. New topics such as Enhanced Recovery After Surgery protocols and Prehabilitation protocols and their influence on SSI are also reviewed.

Published

Jul 2018

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