Multicentred surgical site infection surveillance using partitioning analysis

Background: Surgical site infections (SSIs) represent a substantial clinical and economic burden on patients and the healthcare system. The prevention of SSIs entails surveillance activities which lead to effective mitigation strategies, which are lacking across Asia Pacific (APAC). This manuscript aims to document gaps and challenges across APAC that affect the undertaking of a successful SSI surveillance activities and to provide recommendations on overcoming such challenges. Methods: A targeted literature review with relevance to APAC identified a series of salient points pertaining to SSI prevention guidelines, implementation, surveillance and outcomes, which was discussed in July 2019 at the APAC Surgical Site Infection Prevention Symposium. An expert panel, comprising eight multidisciplinary experts from APAC and the USA, subsequently amalgamated the key discussion points from the Symposium and their clinical experiences in developing this article. Results: The barriers to implementing a successful and effective APAC SSI surveillance program were identified as: (a) lack of standardized definitions, reporting methodology and

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Improving surgical site infection prevention in Asia-Pacific through appropriate surveillance programs: Challenges and recommendation

Russo

Saguil

Chakravarthy

et al. 2021

Infection, Disease & Health

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The Impact of Early Adequate Treatment on Extubation and Discharge Alive of Patients With Pseudomonas aeruginosa-Related Ventilator-Associated Pneumonia*

Sommer

Timsit

Cube

et al. 2018

Critical Care Medicine

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Surveillance of Surgical Site Infection: Development of an Effective System

Enomoto

Sasaki

Katayama

et al. 2015

J St. Marianna Univ

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Background and Aim: Surgical site infection (SSI) remains an important concern in Japan. The Japanese Society for Infection and Prevention Control disclosed that the incidence of SSIs has been lowered only by a fraction over the past 10 years. The importance of taking steps to reduce the occurrence of SSIs is recognized by many hospitals, but to date, no truly effective countermeasures have been reported. We executed a plan to better understand the specific surveillance needs at St. Marianna University School of Medicine Hospital and then develop and institute procedures that would reduce the incidence of SSIs. Methods and Results:In 2005, we began development of an enhanced SSI surveillance system. With our basic CDC-based surveillance system in place, we assembled a team of doctors and nurses to oversee surveillance. We practiced strict record keeping and data analysis, gleaned information from staff, and enlisted the cooperation of other departments. New procedures were established accordingly and implemented in three phases. Between 2005 and 2013, we witnessed informative fluctuations in the incidence of SSIs. Key components of our new system were standardized postoperative wound cleansing, use of buried absorbable sutures to close surgical wounds, consistent provision of 6 antibacterial agents, each one active against a common organ-specific pathogen, and establishment of a prophylactic protocol. New methods of information sharing were also instituted. We lowered the incidence of SSIs from 8% in 2006 to approximately 6.9% in 2012. We continue to monitor the number of SSIs occurring and are encouraged by a steady decline. Conclusion: Establishment of the SSI team at our hospital has proven to be a useful multidisciplinary approach to nosocomial infection awareness and control. Gradual introduction of the system to the various departments and step-by-step implementation have decreased the occurrence of SSIs and the nosocomial spread of infectious agents.

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Multicentred surgical site infection surveillance using partitioning analysis

Abstract: Using the results and partitioning analysis of active SSI surveillance to contribute to action plans for improving clinical practice was effective in significantly reducing SSIs.

Cited by 4 publications

References 22 publications

Improving surgical site infection prevention in Asia-Pacific through appropriate surveillance programs: Challenges and recommendation

Improving surgical site infection prevention in Asia-Pacific through appropriate surveillance programs: Challenges and recommendation

The Impact of Early Adequate Treatment on Extubation and Discharge Alive of Patients With Pseudomonas aeruginosa-Related Ventilator-Associated Pneumonia*

Surveillance of Surgical Site Infection: Development of an Effective System

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