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Healthcare-Associated Infections in Surgical Practice

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Surgical Patient Care

Abstract

Healthcare-associated infections (HAIs) pose a unique challenge that requires engagement from all tiers of healthcare organizations. The solution relies on implementing infection prevention policies that acknowledge the interaction between biologic and structural factors that contribute to HAIs. Additional dynamics require understanding and reforming organizational culture, which can be harder than expected. Institutional capacity to endorse patient safety is paramount to sustainable change and is closely tethered to the degree of attainable success.

This chapter aims to review some of the most common HAIs encountered in surgical practice and their impact on the healthcare economy. The discussion involves key details of each HAI followed by a review of preventive strategies. The latter addresses available evidence-based guidelines, novel technologies, and avenues for further research and growth.

Finally, we highlight how state and federal institutions have invested through health policy agencies and independent patient safety actors to develop a robust network that measures quality of care, thus sharing the responsibility for patient safety.

“One sometimes finds what one is not looking for.”

—Sir Alexander Fleming

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Authors and Affiliations

  1. Centura Health Physician Group, Centura Health, 9100 Mineral Circle, Centennial, CO, 80112, USA

    Scott J. Ellner DO, MPH, MHCM, FACS

  2. Department of Surgery, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, CT, 06105, USA

    Affan Umer MD

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  1. Scott J. Ellner DO, MPH, MHCM, FACS
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Correspondence to Scott J. Ellner DO, MPH, MHCM, FACS .

Editor information

Editors and Affiliations

  1. Department of Surgery Ascension Saint Agnes Hospital Armstrong Institute for Patient Safety & Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Juan A. Sanchez

  2. Children’s Cardiomyopathy Foundation and Kyle John Rymiszewski Research Scholar, Children’s Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA

    Paul Barach

  3. Department of Surgery Center for Healthcare Studies Institute for Public Health and Medicine Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Julie K. Johnson

  4. Division of Cardiovascular Surgery Johns Hopkins All Children’s Heart Institute Johns Hopkins All Children’s Hospital, Johns Hopkins University, Saint Petersburg, FL, USA

    Jeffrey P. Jacobs

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Ellner, S.J., Umer, A. (2017). Healthcare-Associated Infections in Surgical Practice. In: Sanchez, J., Barach, P., Johnson, J., Jacobs, J. (eds) Surgical Patient Care. Springer, Cham. https://doi.org/10.1007/978-3-319-44010-1_27

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