Mathur Purva, Mittal Samarth, Trikha Vivek, Lohiya Ayush, Khurana Surbhi, Katyal Sonal, Bhardwaj Nidhi, Sagar Sushma, Kumar Subodh, Malhotra Rajesh, Walia Kamini
Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Department of Orthopedics, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Indian J Med Microbiol. 2019 Jul-Sep;37(3):318-325. doi: 10.4103/ijmm.IJMM_19_446.
Healthcare-associated infections (HCAIs/ HAIs) are the most common adverse occurrences during health care delivery. Across the globe, millions of patients are affected by HAIs annually, with a higher burden and impact in developing nations. a major lacuna in planning preventing protocols is the absence of National Surveillance Systems in most low-middle income countries, which also prevents allocation of resources to the high-priority areas. Among all the HAIs, there is a huge global burden of SSIs, in terms of morbidity, prolonged hospital stays, increased antimicrobial treatment as well as attributable mortality.
This manuscript details the process of establishment of an SSI surveillance protocol at a level-1 trauma centre in North India.
Surveillance is an essential tool to reduce this burden. It is also an important primary step in recognizing problems and priorities, and it plays a crucial role in identifying risk factors for SSI and to be able to target modifiable risk factors. Therefore, it is imperative to establish reliable systems for surveillance of HAIs, to regularly estimate the actual burden of HAIs, and to use these data for developing indigenous preventive measures, tailored to the country's priorities.
医疗保健相关感染（HCAIs/HAIs）是医疗服务过程中最常见的不良事件。在全球范围内，每年有数百万患者受到HAIs的影响，在发展中国家负担和影响更大。规划预防方案的一个主要缺陷是大多数低收入和中等收入国家缺乏国家监测系统，这也阻碍了向高优先领域分配资源。在所有HAIs中，手术部位感染（SSIs）在发病率、住院时间延长、抗菌治疗增加以及可归因死亡率方面存在巨大的全球负担。
本文详细介绍了印度北部一家一级创伤中心建立SSI监测方案的过程。
监测是减轻这一负担的重要工具。它也是识别问题和优先事项的重要首要步骤，在识别SSI的危险因素以及能够针对可改变的危险因素方面发挥着关键作用。因此，必须建立可靠的HAIs监测系统，定期估计HAIs的实际负担，并利用这些数据制定符合该国优先事项的本土预防措施。
