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Protocol for developing a surveillance system for surgical site infections
Purva Mathur1, Samarth Mittal2, Vivek Trikha2
1Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Insights
Healthcare-associated infections (HAIs) are common, especially surgical site infections (SSIs). Establishing surveillance systems is crucial for developing targeted prevention strategies in low-resource settings.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Healthcare Management
Background:
- Healthcare-associated infections (HAIs) are a significant global health concern, disproportionately affecting developing nations.
- The absence of national surveillance systems in low-middle income countries hinders effective HAI prevention planning and resource allocation.
- Surgical site infections (SSIs) represent a substantial burden, contributing to morbidity, prolonged hospital stays, increased antimicrobial use, and mortality.
Purpose of the Study:
- To detail the establishment of a surgical site infection (SSI) surveillance protocol.
- To address the need for reliable HAI surveillance systems in resource-limited settings.
- To provide a framework for developing indigenous preventive measures tailored to national priorities.
Main Methods:
- Development and implementation of an SSI surveillance protocol.
- Focus on a level-1 trauma center in North India.
- Data collection and analysis for identifying SSI burden and risk factors.
Main Results:
- The manuscript outlines the process of establishing an SSI surveillance protocol.
- Highlights the importance of surveillance in identifying high-priority areas for intervention.
- Emphasizes the role of surveillance in recognizing problems and targeting modifiable risk factors for SSIs.
Conclusions:
- Establishing reliable HAI surveillance systems is imperative for accurate burden estimation.
- Surveillance data are crucial for developing effective, country-specific preventive strategies.
- Implementing targeted surveillance protocols can help reduce the impact of HAIs, particularly SSIs.
Purpose:
Healthcare-associated infections (HCAIs/ HAIs) are the most common adverse occurrences during health care delivery. Across the globe, millions of patients are affected by HAIs annually, with a higher burden and impact in developing nations. a major lacuna in planning preventing protocols is the absence of National Surveillance Systems in most low-middle income countries, which also prevents allocation of resources to the high-priority areas. Among all the HAIs, there is a huge global burden of SSIs, in terms of morbidity, prolonged hospital stays, increased antimicrobial treatment as well as attributable mortality.
Method:
This manuscript details the process of establishment of an SSI surveillance protocol at a level-1 trauma centre in North India.
Result And Conclusion:
Surveillance is an essential tool to reduce this burden. It is also an important primary step in recognizing problems and priorities, and it plays a crucial role in identifying risk factors for SSI and to be able to target modifiable risk factors. Therefore, it is imperative to establish reliable systems for surveillance of HAIs, to regularly estimate the actual burden of HAIs, and to use these data for developing indigenous preventive measures, tailored to the country's priorities.
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