![]() "The guidelines give clinicians step-by-step ways to address SSIs, because there is no single specific fix to the problem and there are many factors in the processes of care," says principal author Therese M. ![]() The new guidelines were developed by investigators from the ACS and SIS, who reviewed evidence from the clinical literature as well as consulted outside content experts to reach consensus across the full course of treatment of surgical patients, including prehospital preparation, hospital interventions, and post-discharge care. The guidelines, titled "American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update," are based on a review of the best available research and clinical practice experience and update previous sets of recommendations on detecting and preventing SSIs from professional clinical and hospital societies. In the meantime, newly released guidelines for the prevention, detection and management of SSIs issued by the American College of Surgeons (ACS) and the Surgical Infection Society (SIS) provide a comprehensive set of recommendations clinicians can use to optimize surgical care and educate patients about ways to contribute to their own well-being. Now that the Centers for Medicare and Medicaid Services no longer pays additional amounts for the cost of treating conditions acquired in a hospital, SSIs have been targeted not only to improve clinical quality, but also to protect hospital reimbursement.Īs the time of writing, the Centers for Disease Control and Prevention (CDC)'s HICPAC has not released its long-awaited update of its 1999 surgical site infection (SSI) prevention guidelines. As many as 60 percent of SSIs are considered to be preventable. ![]() With an annual estimated overall cost of $3 to $5 billion in the U.S., SSIs are associated with a nearly 10-day increased length of stay and an increase of $20,000 in the cost of hospitalization per admission. ![]() Furthermore, SSIs are the most costly of all hospital-acquired infections. Although most patients recover from an SSI without any long-term consequences, they are at a two- to 11-fold increased risk of mortality. SSIs account for 20 percent of all infections that occur in the hospital setting. Research indicates that SSIs are the most common type of hospital-acquired infection. Surgery also presents a significant risk to patients, and together, the operating room should be on the infection preventionist's radar for healthcare-associated infection (HAI) mitigation and elimination. Now that the Centers for Medicare and Medicaid Services no longer pays additional amounts for the cost of treating conditions acquired in a hospital, SSIs have been targeted not only to improve clinical quality, but also to protect hospital reimbursement.Ī hospital's surgical services department represents one of the most sizable challenges to infection prevention and control. With an annual estimated overall cost of $3 billion to $5 billion in the U.S., SSIs are associated with a nearly 10-day increased length of stay and an increase of $20,000 in the cost of hospitalization per admission. A hospital's surgical services department represents one of the most sizable challenges to infection prevention and control.
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