ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2020
Implementation of surgical site infection surveillance in low- and middle-income countries: A position statement for the International Society for Infectious Diseases.
Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Systematic review and meta-analysis of outcomes associated with incisional and organ/space surgical site infections in abdominal surgery patients.Antimicrobial resistance and infection control · 2025Pooled it
- Delayed primary skin closure reduce surgical site infection following surgery for gastrointestinal perforation: A systematic review and meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Point prevalence of evidence-based antimicrobial use among hospitalized patients in sub-Saharan Africa: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Pooled it
- Incidence and predictors of postoperative complications in Sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in health services · 2024Pooled it
- Defeating Cancel Culture in Surgical Site Infection Research: A Plea to Include Microbial Cultures and Antibiotic Sensitivity Data.Surgical infections · 2022Pooled it
- Surgical Site Infections After Laparotomy in a Tertiary Referral Hospital in Kenya: Incidence and Risk Factors.World journal of surgery · 2026Article
- Surgical site infection prevention among surgical healthcare workers in Syria: a nationwide cross-sectional study.Antimicrobial resistance and infection control · 2026Article
- Reducing surgical site infections in paediatric cardiac surgery in a resource-constrained setting: a quality improvement initiative.BMJ open quality · 2026Article
- Surgical site infections after abdominal surgeries: a prospective multicentre study in 53 Nigerian hospitals.BMJ global health · 2026Article
- Incidence, microbiological spectrum, and antimicrobial resistance patterns of surgical site infections at a tertiary care hospital in Pakistan: a retrospective observational study.BMC infectious diseases · 2026Observational
- Perioperative nursing process-oriented bundled interventions and digital monitoring for the prevention of surgical site infections.Frontiers in medicine · 2026Review
- Surgical Antibiotic Prophylaxis Utilization and Predictors of Surgical Site Infections at Debre Tabor Comprehensive Specialized Hospital, Northwest Ethiopia: Prospective Cohort Study.BioMed research international · 2026Article
- Implementation and evaluation of infection prevention and control training in sub-Saharan Africa.Infection prevention in practice · 2025Article
- Implementing a surveillance and prevention program for post-caesarean surgical site infections in Kenya.Antimicrobial resistance and infection control · 2025Article
- Surgical Site Infections in a Tertiary Hospital in Egypt: Bacterial Isolates and Antibiotic Sensitivity Profiles.Cureus · 2025Article
- Surgical site infections in sub-Saharan Africa: epidemiology, risk factors, and prevention strategies.Annals of medicine and surgery (2012) · 2025Review
- The Prevalence and Surveillance of Surgical Site Infections in South Africa: A Literature Review.International wound journal · 2025Review
- Antibiotics consumption in neurosurgery versus appendectomy: a call for antibiotic stewardship initiatives.Medicine and pharmacy reports · 2025Article
- Prevalence and Risk Factors for Surgical Site Infections among Patients in Referral Hospitals in Rwanda.Rwanda journal of medicine and health sciences · 2024Article
Corrections and comments
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Authors and funding
15 authors at 13 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.