New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective

WHO Guidelines Development Group

Research output: Contribution to journalReview article (Academic Journal)peer-review

Abstract

Surgical site infections (SSIs) are the most common health-care-associated infections in developing countries, but they also represent a substantial epidemiological burden in high-income countries. The prevention of these infections is complex and requires the integration of a range of preventive measures before, during, and after surgery. No international guidelines are available and inconsistencies in the interpretation of evidence and recommendations in national guidelines have been identified. Considering the prevention of SSIs as a priority for patient safety, WHO has developed evidence-based and expert consensus-based recommendations on the basis of an extensive list of preventive measures. We present in this Review 16 recommendations specific to the intraoperative and postoperative periods. The WHO recommendations were developed with a global perspective and they take into account the balance between benefits and harms, the evidence quality level, cost and resource use implications, and patient values and preferences.

Original languageEnglish
Pages (from-to)e288-e303
JournalLancet Infectious Diseases
Volume16
Issue number12
Early online date2 Nov 2016
DOIs
Publication statusPublished - 1 Dec 2016

Bibliographical note

Copyright © 2016 World Health Organization. Published by Elsevier Ltd/Inc/BV. All rights reserved. Published by Elsevier Ltd.. All rights reserved.

-Proxy acceptance date added

Keywords

  • Consensus
  • Evidence-Based Medicine
  • Global Health
  • Humans
  • Infection Control/methods
  • Intraoperative Care
  • Postoperative Care
  • Practice Guidelines as Topic
  • Risk Factors
  • Surgical Wound Infection/prevention & control
  • World Health Organization

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