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SURGICAL SUITES: Guidelines on best practices to prevent surgical site infections

The number of unresolved issues in this guideline reveals substantial gaps that warrant future research.” (page E6)

Best practices in avoiding surgical site infections were studied by the Centers for Disease Control and Prevention with the assistance of the Healthcare Infection Control Practices Advisory Committee.  This guideline is based on the full text review of nearly 900 journal articles and studies.  The guideline is organized according to specific surgical practices – for example the efficacy of wearing a space suit during orthopedic surgery – and assigns each practice a rating on a continuum as to whether the practice is highly recommended, unresolved, or somewhere in between.  The rating on the space suits, for instance, is that it is unresolved.

Source: Berrios-Torres, S.I., and others. (2017, May 3). Centers for Disease Control and Prevention guideline for the prevention of surgical site infection 2017. JAMA Surgery. Click here: http://jamanetwork.com/journals/jamasurgery/fullarticle/2623725  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Update

The Society for Healthcare Epidemiology of America [SHEA] and the Infectious Diseases Society of America [IDSA] have updated a series of recommendations on how to prevent various healthcare-associated infections in acute care hospitals. Its earlier compendium of guidelines published in 2008 focused on detection and prevention, while these new recommendations highlight practical preventive strategies.

SHEA and IDSA partnered with the American Hospital Association, Association for Professionals in Infection Control, and Joint Commission in developing the strategies, while a number of other organizations have endorsed or supported the recommendations as well.

Updated preventive strategies have been published so far for these types of HAIs:

  • Catheter-associated urinary tract infections [CAUTIs]
  • Surgical site infections
  • Clostridium difficile infections

Additional updates will be published in July and August, completing a revision of the Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. A new section on hand hygiene as a preventive strategy will be added, and upcoming guidelines for these HAIs will be included:

  • Central line-associated bloodstream infections
  • Ventilator-associated pneumonia
  • Transmission of methicillin-resistant Staphylococcus aureus

Sources:

Compendium of strategies to prevent healthcare-associated infections in acute care hospitals. Society for Healthcare Epidemiology of America, accessed May 9, 2014 at http://www.shea-online.org/PriorityTopics/CompendiumofStrategiestoPreventHAIs.aspx

Yokoe DS and others. SHEA/IDSA practice recommendation: Introduction to “A compendium of strategies to prevent healthcare-associated infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology, 35(5):455-459, May 2014. http://www.jstor.org/stable/10.1086/675819

Lo E and others. SHEA/IDSA practice recommendation: Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology, 35(5):464-479, May 2014. http://www.jstor.org/stable/10.1086/675718

Safdar N and others. SHEA white paper: The evolving landscape of healthcare-associated infections: recent advances in prevention and a road map for research. Infection Control and Hospital Epidemiology, 35(5):480-493, May 2014. http://www.jstor.org/stable/10.1086/675821

Anderson DJ and others. SHEA/IDSA practice recommendation: Strategies to prevent surgical site infections: 2014 update. Infection Control and Hospital Epidemiology, 35(6):605-627, June 2014. http://www.jstor.org/stable/10.1086/676022 

Dubberke ER and others. SHEA/IDSA practice recommendation: Strategies to prevent Clostridium difficile infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology, 35(6):628-645, June 2014. http://www.jstor.org/stable/10.1086/676023

Yokoe DS and others. SHEA/IDSA practice recommendations: Compendium of strategies to prevent healthcare-associataed infections in acute care hospitals. Infection Control and Hospital Epidemiology, 29(supplement 1): S1-S92, Oct. 2008. http://www.jstor.org/stable/10.1086/593984

Posted by AHA Resource Center (312) 422-2050, rc@aha.org