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REVIEW ARTICLE
Year : 2018  |  Volume : 6  |  Issue : 1  |  Page : 1-12

A review of prevention of surgical site infections in Indian hospitals based on global guidelines for the prevention of surgical site infection, 2016


1 MD Head-Quality and Patient Safety at Fortis Healthcare Limited, Delhi, India
2 Senior Consultant, Obstetrics and Gynaecology, Minimal Invasive Gynaecology Royal Free Hospital, London, Robotic Training IRCAD, Strasbourg, France, Day Care Endoscopy Birmingham City Hospital, Birmingham, UK, Diploma Operative Pelviscopy Kiel, Germany
3 Chairman, Max Institute of Cancer care, New Delhi, India
4 MBBS, MS, MNAMS, FRCS (LONDON) FIMSA, FAIS, FICS, FACS, FIAGES, FALS, Chairman Max Institute of Minimal Access, Metabolic and Bariatric Surgery, Executive Vice Chairman at Max Healthcare, New Delhi, India
5 MBBS, MHA, FNAMS, FIHE, FAHA, Medical Superintendent, All India Institute of Medical Sciences, New Delhi, India
6 DSc MD ChM FRCS FACS FLS, Emeritus Professor of Surgery, University of Newcastle upon Tyne, Emeritus Professor of Clinical Sciences, ISIaIP, University of Huddersfield, Visiting Professor, Imperial College, London, UK
7 Chairman (Heart Surgery), Max Smart Super Speciality Hospital, New Delhi, India
8 Chairman of Bone and Joints Institute at Medanta Hospital, Karnataka, India
9 Head of Department of Day Care Surgery at Ramakrishna Group of Hospitals in Bangalore, Karnataka, India
10 DGO, MD (OBGY), Diploma in Endoscopy, UK, USA
11 Head, Department of Surgical Disciplines, AIIMS, New Delhi, India
12 Consultant Cardiovascular Thoracic Surgeon, Mumbai, Maharashtra, India

Correspondence Address:
Dr. G K Mani
Max Smart Super Speciality Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpsic.jpsic_29_17

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While the global estimates of surgical site infection (SSI) have varied from 0.5% to 15%, studies in India have consistently shown higher rates ranging from 23% to 38%. The incidence of SSI may be influenced by factors such as pre-operative care, the theatre environment, post-operative care and the type of surgery. Many other factors influence surgical wound healing and determine the potential for, and the incidence of, infection. Therefore, the prevention of these infections is complex and requires the integration of a range of preventive measures before, during and after surgery. No standardised guidelines backed by evidence are currently established in India for the prevention of SSI. Hence, there is a need for an adaptable, executable National Guideline for low- and middle-income countries which includes India. An effort to draw out most doable and must doable action points to prevent SSI was undertaken by the panelists involved in this paper on the basis of recent global guidelines for the prevention of SSI.


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