Acta Neurochirurgica

, Volume 161, Issue 3, pp 525–525 | Cite as

Infection prevention bundle reduces surgical site infections following cranial surgery

  • Beuy JoobEmail author
  • Viroj Wiwanitkit
Letter to the editor - Infection
Part of the following topical collections:
  1. Infection

Dear Editor, we read the publication on “The implementation of an infection prevention bundle reduces surgical site infection (SSI) s following cranial surgery” with a great interest [3]. Jörger et al. concluded that “The implementation of a bundle of five basic infection prevention steps leads to a clinical relevant reduction of SSIs [3].” In fact, SSI is an important problem in clinical practice and there should be a good preventive measure against the problem. The implementation of guideline/protocol aiming at prevention of the problem is interesting. Indeed, the instruction according to the guideline/protocol is usually good; however, the important concern is the practice of the practitioner. Most of the problem in clinical practice is usually due to human error [1]. In a recent report from the USA, the non-compliance of practitioners towards infection control guideline for SSI prevention is not uncommon, and the SSI problem can be due to the contamination during pre-, intra-, or post- operative phase [2]. Any tools against SSI will be useless if we do not start with promotion of the responsibility of the practitioner.


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Backman LA, Carusillo E, D’aquila LN, Melchreit R, Fekieta R (2017) Validation of surgical site infection surveillance data in colon procedures reported to the Connecticut Department of Public Health. Am J Infect Control 45(6):690–691CrossRefPubMedGoogle Scholar
  2. 2.
    Davis CH, Kao LS, Fleming JB, Aloia TA, Texas Alliance for Surgical Quality Collaborative (2017) Multi-institution analysis of infection control practices identifies the subset associated with best surgical site infection performance: a Texas alliance for surgical quality collaborative project. J Am Coll SurgGoogle Scholar
  3. 3.
    Jörger AK, Wimmer N, Lange N, Wagner A, Janssen I, Krieg S, Meyer B, Shiban E (2018) The implementation of an infection prevention bundle reduces surgical site infections following cranial surgery. Acta Neurochir 160(12):2307–2312CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Sanitation 1 Medical Academic CenterBangkokThailand
  2. 2.Dr DY Patil UniversityPuneIndia

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