Most international guidelines on prevention of healthcare-associated infection lack comprehensive recommendations for neonates and children

Silva, A R Araujo da; Zingg, Walter; Dramowski, Angela; Bielicki, Julia

doi:10.1016/j.jhin.2016.05.008

Cited by 8 publications

(2 citation statements)

References 8 publications

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“…The WHO's 2016 global SSI prevention guidelines found insufficient data on children (World Health Organization, 2016a). Current guidelines on children are based on evidence generated from adult studies (Araujo da Silva et al, 2016). Araujo da Silva et al point out that a lack of pediatricspecific data is a hindrance to the standardization of care across different settings.…”

Section: Surgical Site Infections In Pediatric Patientsmentioning

confidence: 99%

Implementation of surgical site infection surveillance in low- and middle-income countries: A position statement for the International Society for Infectious Diseases

Mehtar¹,

Wanyoro²,

Ogunsola³

et al. 2020

International Journal of Infectious Diseases

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Surgical site infection (SSI) rates in low- and middle-income countries (LMICs) range from 8 to 30% of procedures, making them the most common healthcare acquired infection (HAI) with substantial morbidity, mortality, and economic impacts. Presented here is an approach to surgical site infection prevention based on surveillance and focused on five key areas as identified by international experts. These five areas include: Collecting valid, high-quality data; Linking HAIs to economic incapacity, underscoring the need to prioritize infection prevention activities; Implementing SSI surveillance within infection prevention and control (IPC) programs to enact structural changes, develop procedural skills, and alter healthcare worker behaviors; Priotiziation of IPC training for healthcare workers in LMICs to conduct broad-based surveillance coupled with the development and implementation of locally applicable IPC programs; Developing a highly accurate and objective international system for defining SSIs that can be translated globally in a straightforward manner. Finally, we present a clear, unambiguous framework for successful SSI guideline implementation that supports the development of sustainable IPC programs in LMICs. This entails: i) identifying index operations for targeted surveillance; ii) identifying IPC “champions” and empowering healthcare workers; iii) using multimodal improvement measures; iv) positioning hand hygiene programs as the basis for IPC initiatives; and v), use of telecommunication devices for surveillance and healthcare outcome follow-ups. Additionally, special considerations for pediatric SSIs, antimicrobial resistance development, and antibiotic stewardship programs are addressed.

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Section: Surgical Site Infections In Pediatric Patientsmentioning

confidence: 99%

Implementation of surgical site infection surveillance in low- and middle-income countries: A position statement for the International Society for Infectious Diseases

Mehtar¹,

Wanyoro²,

Ogunsola³

et al. 2020

International Journal of Infectious Diseases

View full text Add to dashboard Cite

show abstract

“…guidelines have demonstrated gaps in specific recommendations for interventions necessary to prevent CAUTI and surgical site infection in children. 23 In this study, despite finding many publications on CAUTI prevention, we identified only six papers with specific interventions to reduce CAUTI in the paediatric population. In just 4 of 6 studies, reduction of CAUTI rates was achieved.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%