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New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective.

  • Allegranzi B Infection Prevention and Control Global Unit, Service Delivery and Safety, WHO, Geneva, Switzerland. Electronic address: allegranzib@who.int.
  • Zayed B Infection Prevention and Control Global Unit, Service Delivery and Safety, WHO, Geneva, Switzerland.
  • Bischoff P Institute of Hygiene and Environmental Medicine, Charité-University Medicine, Berlin, Germany.
  • Kubilay NZ Infection Prevention and Control Global Unit, Service Delivery and Safety, WHO, Geneva, Switzerland.
  • de Jonge S Department of Surgery, Academic Medical Center Amsterdam, Amsterdam, Netherlands.
  • de Vries F Department of Surgery, Academic Medical Center Amsterdam, Amsterdam, Netherlands.
  • Gomes SM OASIS Global, Cincinnati, OH, USA.
  • Gans S Department of Surgery, Academic Medical Center Amsterdam, Amsterdam, Netherlands.
  • Wallert ED Department of Surgery, Academic Medical Center Amsterdam, Amsterdam, Netherlands.
  • Wu X Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.
  • Abbas M Infection Control Programme, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
  • Boermeester MA Department of Surgery, Academic Medical Center Amsterdam, Amsterdam, Netherlands.
  • Dellinger EP Department of Surgery, University of Washington, Seattle, WA, USA.
  • Egger M Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
  • Gastmeier P Institute of Hygiene and Environmental Medicine, Charité-University Medicine, Berlin, Germany.
  • Guirao X Parc Taulí Hospital Universitari, Barcelona, Spain.
  • Ren J Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.
  • Pittet D Infection Control Programme, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland; WHO Collaborating Centre on Patient Safety (Infection Control and Improving Practices), University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
  • Solomkin JS OASIS Global, Cincinnati, OH, USA; University of Cincinnati College of Medicine, Cincinnati, OH, USA.
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  • 2016-11-07
Published in:
  • The Lancet. Infectious diseases. - 2016
Consensus
Evidence-Based Medicine
Global Health
Humans
Infection Control
Intraoperative Care
Postoperative Care
Practice Guidelines as Topic
Risk Factors
Surgical Wound Infection
World Health Organization
English Surgical site infections (SSIs) are the most common health-care-associated infections in developing countries, but they also represent a substantial epidemiological burden in high-income countries. The prevention of these infections is complex and requires the integration of a range of preventive measures before, during, and after surgery. No international guidelines are available and inconsistencies in the interpretation of evidence and recommendations in national guidelines have been identified. Considering the prevention of SSIs as a priority for patient safety, WHO has developed evidence-based and expert consensus-based recommendations on the basis of an extensive list of preventive measures. We present in this Review 16 recommendations specific to the intraoperative and postoperative periods. The WHO recommendations were developed with a global perspective and they take into account the balance between benefits and harms, the evidence quality level, cost and resource use implications, and patient values and preferences.
Language
  • English
Open access status
green
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Persistent URL
https://sonar.ch/global/documents/233447
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