Section of Acute Care Surgery, Department of Surgery, Stanford University, Stanford, California, USA.
Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California, San Diego, La Jolla, California, USA.
Surg Infect (Larchmt). 2020 Sep;21(7):621-625. doi: 10.1089/sur.2020.053. Epub 2020 May 12.
Surgical site infection (SSI) surveillance programs are strongly recommended as a core component of effective national infection prevention and control (IPC) programs. Participation in national SSI surveillance (nSSIS) programs has been shown to decrease reported SSIs among high-income countries (HICs), and it is expected that the same is possible among low- and middle-income countries (LMICs). We sought to determine what, if any nSSIS programs exist among LMICs. A cross-sectional survey was performed to evaluate existence of nSSIS of World Bank-defined LMICs. A digital survey assessment for presence of national IPC and nSSIS programs was delivered to persons capable of identifying the presence of such a program. Statistical analysis was performed using STATA. Institutional Review Board approval was obtained for this study. Of the 137 countries identified, 55 (40%) were upper middle income (UMI), 47 (34%) were lower middle income (LMI), and 34 (25%) were low income. Representatives from 39 (28%) LMICs completed the survey. Of these respondent countries, 13 (33%) reported the presence of a national IPC program. There was no difference between countries with IPC programs and those without with respect to country income designation, population size, World Health Organization region, or conflict status. Only five (13% of all respondents) reported presence of a nSSIS program. National surgical site infection surveillance programs are an integral component of a country's ability to provide safe surgical procedures. Presence of nSSIS was reported infrequently in LMICs. International governing bodies should be encouraged to guide LMIC leadership in establishing a nSSIS infrastructure that will help enable safe surgical procedures.
手术部位感染（SSI）监测计划被强烈推荐作为有效国家感染预防和控制（IPC）计划的核心组成部分。参与国家 SSI 监测（nSSIS）计划已被证明可以降低高收入国家（HICs）报告的 SSI 发生率，预计在中低收入国家（LMICs）也可能如此。我们试图确定 LMICs 中是否存在任何 nSSIS 计划。 进行了一项横断面调查，以评估世界银行定义的 LMIC 国家是否存在 nSSIS。向能够识别此类计划的人员提供了关于国家 IPC 和 nSSIS 计划存在情况的数字调查评估。使用 STATA 进行统计分析。本研究获得了机构审查委员会的批准。 在确定的 137 个国家中，55 个（40%）为中上收入（UMI），47 个（34%）为中下收入（LMI），34 个（25%）为低收入。39 个（28%）LMIC 国家的代表完成了调查。在这些答复国，13 个（33%）报告了国家 IPC 计划的存在。在 IPC 计划国家和没有 IPC 计划的国家之间，在国家收入分类、人口规模、世界卫生组织区域或冲突状态方面没有差异。只有五个（所有答复者的 13%）报告了 nSSIS 计划的存在。 国家手术部位感染监测计划是国家提供安全手术程序能力的组成部分。LMICs 中很少报告存在 nSSIS。应鼓励国际管理机构指导 LMIC 领导层建立 nSSIS 基础设施，这将有助于实现安全的手术程序。
