Surgical Site Infection (SSI) in 2019
National Center for Emerging and Zoonotic Infectious Diseases
NHSN Surgical Site Infection Surveillance in 2019
Victoria Russo, MPH, CIC Infection Prevention Consultant NHSN Protocol and Validation Team Division of Healthcare Quality Promotion March 28, 2019
What Tools Are Needed To Accurately Perform SSI Surveillance? Goals for Today:
Understand the burden of SSI Locate SSI surveillance resources Review SSI definitions, key terms, reporting instructions, FAQs
? Review the SSI Event form and the SSI Denominator for Procedure form
Accurately apply the 2019 SSI protocol through knowledge checks SSI Surveillance and Analysis Group Exercise 1-1:30 (after lunch)
Goals will be reviewed within the context of 2019 NHSN protocols.
SSI ? Burden
SSIs are a substantial cause of morbidity, prolonged hospitalization, unplanned readmissions after surgery and death(1)
Estimated 157,500 SSI infections in U.S. per year(2)
SSI is the most costly HAI type ? estimated annual cost of $3.3 billion, and is associated with nearly 1 million additional inpatient-days(3,4)
Number of operative procedures performed in the U.S. continues to rise(5)
Increase of complex comorbidities seen in surgical patients(5)
Estimated approximately half of SSIs are deemed preventable using evidence-based strategies(5)
1. NHSN 2019 SSI Protocol: 2. Magill, S.S., et al., "Multistate point-prevalence survey of health care-associated
infections". New England Journal of Medicine, 370(13): (2014): 1198-208. 3. de Lissovoy, G., et al., "Surgical site infection: Incidence and impact on hospital utilization and treatment costs". Am J Infect Control, 37(5): (2009): 387-97. 4. Condon, R.E., et al., "Effectiveness of a surgical wound surveillance program". Archives of Surgery, 118(3): (1983): 303-7. 5. Berr?os-Torres, SI. et al., Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection. JAMA Surg, 152(8): (2017):784-912.
Where Do I Locate SSI Surveillance Resources?
NHSN Educational Roadmaps
NHSN- Materials for Enrolled Facilities
Surveillance for Surgical Site Infection (SSI) Events
HAI Checklists
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