Implementation of surgical site infection surveillance in low- and middle-income countries: A position statement for the International Society for Infectious Diseases.

Antimicrobial Stewardship Developing Countries Epidemiological Monitoring Guidelines as Topic Hand Hygiene Health Personnel Humans Poverty Surgical Wound Infection / epidemiology

Journal

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
ISSN: 1878-3511
Titre abrégé: Int J Infect Dis
Pays: Canada
ID NLM: 9610933

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 16 07 2020
accepted: 19 07 2020
pubmed: 28 7 2020
medline: 13 1 2021
entrez: 27 7 2020
Statut: ppublish

Résumé

Surgical site infection (SSI) rates in low- and middle-income countries (LMICs) range from 8 to 30% of procedures, making them the most frequent 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 critical areas identified by international experts. These five areas include 1. Collecting valid, high-quality data; 2. Linking HAIs to economic incapacity, underscoring the need to prioritize infection prevention activities; 3. Implementing SSI surveillance within infection prevention and control (IPC) programs to enact structural changes, develop procedural skills, and alter healthcare worker behaviors; 4. Prioritizing IPC training for healthcare workers in LMICs to conduct broad-based surveillance and to develop and implement locally applicable IPC programs; and 5. Developing a highly accurate and objective international system for defining SSIs, which can be translated globally in a straightforward manner. Finally, we present a clear, unambiguous framework for successful SSI guideline implementation that supports developing sustainable IPC programs in LMICs. This entails 1. Identifying index operations for targeted surveillance; 2. Identifying IPC "champions" and empowering healthcare workers; 3. Using multimodal improvement measures; 4. Positioning hand hygiene programs as the basis for IPC initiatives; 5. 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.

Identifiants

DOI: 10.1016/j.ijid.2020.07.021 PMID: 32712427 PMC: PMC7378004
pubmed: 32712427
pii: S1201-9712(20)30565-8
doi: 10.1016/j.ijid.2020.07.021
pmc: PMC7378004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

123-131

Informations de copyright

Copyright © 2020. Published by Elsevier Ltd.

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Auteurs

Shaheen Mehtar (S)

Infection Control Africa Network, Cape Town, South Africa.

Anthony Wanyoro (A)

Department of Obstetrics and Gynecology, Kenyatta University, Nairobi, Kenya.

Folasade Ogunsola (F)

Infection Control African Network, College of Medicine, University of Lagos, Nigeria.

Emmanuel A Ameh (EA)

Division of Paediatric Surgery National Hospital, Abuja, Nigeria.

Peter Nthumba (P)

Clinical Epidemiologist and Plastic Surgeon, AIC Kijabe Hospital, and GCB, University of Bern, Mittelstrasse 43, 3012 Bern, Switzerland. Electronic address: nthumba@gmail.com.

Claire Kilpatrick (C)

World Surgical Infection Society, United States.

Gunturu Revathi (G)

Head, Microbiology Laboratory, Aga Khan University Hospital, Nairobi, Kenya.

Anastasia Antoniadou (A)

4th Dept of Internal Medicine, National and Kapodistrian University of Athens (NKUA) Medical School, University General Hospital ATTIKON, Athens, Greece.

Helen Giamarelou (H)

Department of Obstetrics and Gynecology, Kenyatta University, Nairobi, Kenya; Infection Control Africa Network, Cape Town, South Africa; Infection Control African Network, College of Medicine, University of Lagos, Nigeria; Division of Paediatric Surgery National Hospital, Abuja, Nigeria; Clinical Epidemiologist and Plastic Surgeon, AIC Kijabe Hospital, and GCB, University of Bern, Mittelstrasse 43, 3012 Bern, Switzerland; Head, Microbiology Laboratory, Aga Khan University Hospital, Nairobi, Kenya; World Surgical Infection Society, United States; Division of Infectious Diseases, Thammasat University Hospital, Pratum Thani, Thailand; International Society for Infectious Diseases - Boston, United States; Buenos Aires, Argentina; 6005 Given Rd. Cincinnati OH 45243, United States; Global Disease Detection, US Naval Medical Research Unit 3, Cairo, Egypt.

Anucha Apisarnthanarak (A)

Division of Infectious Diseases, Thammasat University Hospital, Pratum Thani, Thailand.

John W Ramatowski (JW)

International Society for Infectious Diseases - Boston, United States.

Victor D Rosenthal (VD)

Buenos Aires, Argentina.

Julie Storr (J)

6005 Given Rd. Cincinnati OH 45243, United States.

Tamer Saied Osman (TS)

Global Disease Detection, US Naval Medical Research Unit 3, Cairo, Egypt.

Joseph S Solomkin (JS)

6005 Given Rd. Cincinnati OH 45243, United States. Electronic address: solomkjs@uc.edu.

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Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Bilan opérationnel › Revue des pratiques de prescription des médicaments › Gestion responsable des antimicrobiens › Implementation of surgical site infection...
questionsmedicales.fr › Sciences sociales › Internationalité › Coopération internationale › Pays en voie de développement › Implementation of surgical site infection...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Surveillance épidémiologique › Implementation of surgical site infection...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Recommandations comme sujet › Implementation of surgical site infection...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Hygiène › Hygiène des mains › Implementation of surgical site infection...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Implementation of surgical site infection...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Implementation of surgical site infection...
questionsmedicales.fr › Caractéristiques de la population › Facteurs socioéconomiques › Pauvreté › Implementation of surgical site infection...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Infection de plaie opératoire › Implementation of surgical site infection...