Journal ArticleDOI
Strategies to Prevent Surgical Site Infections in Acute Care Hospitals
Deverick J. Anderson,Keith S. Kaye,David C. Classen,Kathleen M. Arias,Kelly Podgorny,Helen Burstin,David P. Calfee,Susan E. Coffin,Erik R. Dubberke,Victoria J. Fraser,Dale N. Gerding,Frances A. Griffin,Peter Gross,Michael Klompas,Evelyn Lo,Jonas Marschall,Leonard A. Mermel,Lindsay E. Nicolle,David A. Pegues,Trish M. Perl,Sanjay Saint,Cassandra D. Salgado,Robert A. Weinstein,Robert R. Wise,Deborah S. Yokoe +24 more
TLDR
The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals to implement and prioritize their surgical site infection (SSI) prevention efforts.Abstract:
Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections. The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals to implement and prioritize their surgical site infection (SSI) prevention efforts. Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary and Introduction and accompanying editorial for additional discussion.1. Burden of SSIs as complications in acute care facilities.a. SSIs occur in 2%-5% of patients undergoing inpatient surgery in the United States.b. Approximately 500,000 SSIs occur each year.2. Outcomes associated with SSIa. Each SSI is associated with approximately 7-10 additional postoperative hospital days.b. Patients with an SSI have a 2-11 times higher risk of death, compared with operative patients without an SSI.i. Seventy-seven percent of deaths among patients with SSI are direcdy attributable to SSI.c. Attributable costs of SSI vary, depending on the type of operative procedure and the type of infecting pathogen; published estimates range from $10 billion annually in healthcare expenditures.1. Definitionsa. The Centers for Disease Control and Prevention National Nosocomial Infections Surveillance System and the National Healthcare Safety Network definitions for SSI are widely used.b. SSIs are classified as follows (Figure):i. Superficial incisional (involving only skin or subcutaneous tissue of the incision)ii. Deep incisional (involving fascia and/or muscular layers)iii. Organ/spaceread more
Citations
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Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus aureus Infections in Adults and Children
Catherine Liu,Arnold S. Bayer,Sara E. Cosgrove,Robert S. Daum,Scott K. Fridkin,Rachel J. Gorwitz,Sheldon L. Kaplan,Adolf W. Karchmer,Donald P. Levine,Barbara E. Murray,Michael J. Rybak,Henry F. Chambers +11 more
TL;DR: These guidelines discuss the management of a variety of clinical syndromes associated with MRSA disease, including skin and soft tissue infections (SSTI), bacteremia and endocarditis, pneumonia, bone and joint infections, and central nervous system infections.
Journal ArticleDOI
Clinical practice guidelines for antimicrobial prophylaxis in surgery
Dale W. Bratzler,E. Patchen Dellinger,Keith M. Olsen,Trish M. Perl,Paul G. Auwaerter,Maureen K. Bolon,Douglas N. Fish,Douglas N. Fish,Lena M. Napolitano,Robert G. Sawyer,Douglas Slain,James P. Steinberg,Robert A. Weinstein +12 more
TL;DR: These guidelines were developed jointly by the American Society of Health-System Pharmacists (ASHP), the Infectious Diseases Society of America, the Surgical Infection Society (SIS), and the Society for Healthcare Epidemiology of America (SHEA).
Journal ArticleDOI
Clinical practice guidelines for antimicrobial prophylaxis in surgery.
Dale W. Bratzler,E. Patchen Dellinger,Keith M. Olsen,Trish M. Perl,Paul G. Auwaerter,Maureen K. Bolon,Douglas N. Fish,Douglas N. Fish,Lena M. Napolitano,Robert G. Sawyer,Douglas Slain,James P. Steinberg,Robert A. Weinstein +12 more
TL;DR: The guidelines were developed jointly by the American Society of Health-System Pharmacists (ASHP), the Infectious Diseases Society of America (IDSA), the Surgical Infection Society (SIS), and the Society for Healthcare Epidemiology (SHEA) as mentioned in this paper.
Journal ArticleDOI
Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update
Deverick J. Anderson,Kelly Podgorny,Sandra I. Berríos-Torres,Dale W. Bratzler,E. Patchen Dellinger,Linda Greene,Ann-Christine Nyquist,Lisa Saiman,Deborah S. Yokoe,Lisa L. Maragakis,Keith S. Kaye +10 more
TL;DR: This document updates “Strategies to Prevent Surgical Site Infections in Acute Care Hospitals,” published in 2008, with practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their surgical site infection prevention efforts.
Journal ArticleDOI
American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update
Kristen A. Ban,Kristen A. Ban,Joseph P. Minei,Christine Laronga,Brian G. Harbrecht,Eric H. Jensen,Donald E. Fry,Kamal M.F. Itani,E. Patchen Dellinger,Clifford Y. Ko,Clifford Y. Ko,Therese M. Duane +11 more
TL;DR: This data indicates that pre-emptive surgery is a viable option for the treatment of deep vein thrombosis in women with pre-operative indications and this work’s results support this view.
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