Surgical Site Infections Articles


  • Auditing and Improving Surgical Antibiotic Prophylaxis.

    There is extensive evidence of the efficacy of anti-microbial drugs in preventing infections from surgical efforts. Our objective was to describe the results obtained in our annual surgical antibiotic prophylaxis (SAP) audit in the years 2013-2017.

    Published August 12, 2018
  • From Cues to Nudge: A Knowledge-Based Framework for Surveillance of Healthcare-Associated Infections.

    We propose an integrated semantic web framework consisting of formal ontologies, web services, a reasoner and a rule engine that together recommend appropriate level of patient-care based on the defined semantic rules and guidelines.

    Published November 18, 2015
  • Healthcare-associated infections in Pennsylvania - 2011 Report

    The 2011 report on the occurrence and patterns of health care-associated infections (HAIs) is the fourth to be released by the Pennsylvania Department of Health (PADOH) since the passage of Act 52 in 2007. The overall findings for 2011 show a continued pattern of steady decline in the incidence of HAIs in Pennsylvania. Declines were also seen in the incidence of each of the three categories of HAIs used by PADOH for hospital benchmarking. These categories are: catheter-associated urinary tract infections (CAUTIs), central line-associated bloodstream infections (CLABSIs), and selected types of surgical site infections (SSIs). The declining numbers are likely the result of ongoing efforts undertaken by infection preventionists, health care providers and systems, professional societies and governmental agencies to control and prevent HAIs. The impact of these efforts should be improved health status and outcomes of patients cared for in Pennsylvania hospitals, which are the primary motivation for HAI prevention and control, along with reduced health care expenditures.

    pa doh 2011 hai report



    Pennsylvania Department of Health
    August 2012

    Published January 17, 2013
  • IHI - How-to guide: prevent surgical site infections

    Surgical site infections are a frequent cause of morbidity following surgical procedures. Surgical site infections have also been shown to increase mortality, re-admission rates, length of stay, and costs for patients who incur them. While nationally the rate of surgical site infection averages between 2 and 3% for clean cases (class I/clean as defined by CDC), an estimated 40 to 60% of these infections are preventable.

    A review of the medical literature shows that the following care components reduce the incidence of surgical site infection: appropriate use of prophylactic antibiotics; appropriate hair removal, controlled postoperative serum glucose for cardiac surgery patients, and immediate postoperative normothermia for colorectal surgery patients. These components, if implemented reliably, can drastically reduce the incidence of surgical site infection, resulting in the nearly complete elimination of preventable surgical site infection in many cases.




    (2012). "How-to Guide: Prevent Surgical Site Infections." Institute for Healthcare Improvement; Cambridge, MA (Available at

    Published January 16, 2013
  • Surgical Care Improvement Project (SCIP) best practices initiative change package

    This change package is a collection of recommendations for changing processes of surgical care.



    (2009) Healthcare Quality Strategies

    Published January 17, 2013