title: Current preventive measures for health-care associated surgical site infections: a review.
abstract: Healthcare-associated infections (HAIs) continue to be a tremendous issue today. It is estimated 1.7 million HAIs occur per year, and cost the healthcare system up to $45 billion annually. Surgical site infections (SSIs) alone account for 290,000 of total HAIs and approximately 8,000 deaths. In today's rapidly changing world of medicine, it is ever important to remain cognizant of this matter and its impact both globally and on the individual lives of our patients. This review aims to impress upon the reader the unremitting significance of HAIs in the daily practice of medicine. Further, we discuss the etiology of HAIs and review successful preventive measures that have been demonstrated in the literature. In particular, we highlight preoperative, intraoperative, and postoperative interventions to combat SSIs. Finally, we contend that current systems in place are often insufficient, and emphasize the benefits of institution-wide adoption of multiple preventive interventions. We hope this concise update and review can inspire additional dialogue for the continuing progress towards improving patient care and patient lives.
authors.affiliation: Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Tsai
authors.affiliation: Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115 Boston, MA USA.
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Caterson
keywords: Health-care associated infections; Hospital-acquired; Nosocomial; Preventive measures; Surgical site infections