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An Overview of Surgical Site Infection in Low- and Middle-Income Countries: the Role of Recent Guidelines, Limitations, and Possible Solutions

  • Eduardo Rojas-Gutierrez
  • Diana Vilar-CompteEmail author
Treatment and Prevention of Hospital Infections (D Vilar-Compte, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Treatment and Prevention of Hospital Infections

Abstract

Purpose of review

The purpose of this manuscript is to review preventive strategies for surgical site infection (SSI) in low- and middle-income countries (LMIC) and how the recent World Health Organization (WHO) guidelines, along with the Centers for Disease Control (CDC) recommendations on SSI prevention, may be implemented on these settings, considering frequent limitations and possible solutions.

Recent findings

Surgical site infection (SSI) is the most common postoperative complication and in LMIC is the first cause among healthcare-associated infections (HAI). SSIs are largely preventable if there is a standardized process of care throughout the operative and perioperative period. SSIs, especially clean procedures, are considered a marker of quality in healthcare.

Summary

Education and cultural aspects have an enormous influence on the correct performance of SSI preventive measures. Getting patients and healthcare professionals engaged with prevention is the first step to make policies work properly in LMIC, no matter how this might take a lot of time and effort to be accomplished. Infection control professionals are not a luxury in any setting and efforts to support HAI control should be a priority. Surveillance is one of the most important and difficult tasks in SSI prevention.

Keywords

Surgical site infection Prevention Low and middle income 

Notes

Compliance with Ethical Standards

Conflict of Interest

Eduardo Rojas-Gutierrez declares that he has no conflict of interest. Diana Vilar-Compte declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Infectious DiseasesInstituto Nacional de CancerologíaMexico CityMexico
  2. 2.Department of SurgeryInstituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico CityMexico
  3. 3.Departamento de InfectologíaInstituto Nacional de Cancerología (INCan)Mexico CityMexico

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