Implementation of Surgical Site Infection Surveillance in Low- and Middle-Income Countries A Position Statement for the International Society for Infectious Diseases

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Implementation of Surgical Site Infection Surveillance in Low- and Middle-Income Countries A Position Statement for the International Society for Infectious Diseases

JournalInternational Journal of Infectious Diseases
Publication date – Jul – 2020
Authors – Shaheen Mehtar, Anthony Wanyoro , Folasade Ogunsola , Emmanuel A Ameh , Peter Nthumba , Claire Kilpatrick , Gunturu Revathi , Anastasia Antoniadou , Helen Giamarelou , Anucha Apisarnthanarak, John W Ramatowski, Victor D xsRosenthal, Julie Storr, Tamer Saied Osman, Joseph S Solomkin
Keywordslow- and middle-income countries (LMICs), surgical-site infection (SSI)
Open access – Yes
SpecialityHealth policy
World region Global

Language – English
Submitted to the One Surgery Index on August 2, 2020 at 11:46 am
Abstract:

Surgical site infection (SSI) rates in low- and middle-income countries (LMICs) range from 8 to 30% of procedures, making them the most common healthcare acquired infection (HAI) with substantial morbidity, mortality, and economic impacts. Presented here is an approach to surgical site infection prevention based on surveillance and focused on five key areas as identified by international experts. These five areas include: Collecting valid, high-quality data; Linking HAIs to economic incapacity, underscoring the need to prioritize infection prevention activities; Implementing SSI surveillance within infection prevention and control (IPC) programs to enact structural changes, develop procedural skills, and alter healthcare worker behaviors; Priotiziation of IPC training for healthcare workers in LMICs to conduct broad-based surveillance coupled with the development and implementation of locally applicable IPC programs; Developing a highly accurate and objective international system for defining SSIs that can be translated globally in a straightforward manner. Finally, we present a clear, unambiguous framework for successful SSI guideline implementation that supports the development of sustainable IPC programs in LMICs. This entails: i) identifying index operations for targeted surveillance; ii) identifying IPC “champions” and empowering healthcare workers; iii) using multimodal improvement measures; iv) positioning hand hygiene programs as the basis for IPC initiatives; and v), use of telecommunication devices for surveillance and healthcare outcome follow-ups. Additionally, special considerations for pediatric SSIs, antimicrobial resistance development, and antibiotic stewardship programs are addressed.

OSI Number – 20606
PMID – 32712427

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