An Overview of Surgical Site Infection in Low- and Middle-Income Countries: the Role of Recent Guidelines, Limitations, and Possible Solutions
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.
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.
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.
KeywordsSurgical site infection Prevention Low and middle income
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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