Hinson Chandler, Kilpatrick Claire, Rasa Kemal, Ren Jianan, Nthumba Peter, Sawyer Robert, Ameh Emmanuel
World Surgical Infection Society, Mobile, USA.
Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA.
BMC Surg. 2024 Dec 20;24(1):397. doi: 10.1186/s12893-024-02695-7.
Incorporating infection prevention and control (IPC) is crucial for strengthening global surgery, particularly in low- and middle-income countries (LMICs). This review article highlights the critical role IPC plays in ensuring equitable and sustainable surgical care, aligning with the Sustainable Development Goals (SDG) 3 and 10, which aim to promote health and reduce inequalities. Surgical site infections (SSIs) and other healthcare-associated infections (HAIs) disproportionately affect LMICs, where IPC infrastructure is often underdeveloped. Without robust IPC measures, surgeries in these regions can result in higher morbidity, mortality, and healthcare costs, exacerbating disparities in healthcare access and outcomes. Despite global efforts, such as the World Health Organization (WHO) Guidelines on the Prevention of Surgical Site Infections, IPC integration in surgical practices remains inconsistent, particularly in resource-constrained settings. More widespread adoption and implementation are necessary. By embedding IPC within global surgery frameworks, health systems can improve surgical outcomes, reduce costs, and enhance the resilience of healthcare systems. Effective IPC reduces extended hospital stays, limits the spread of antimicrobial resistance, and increases trust in surgical services. Moreover, the cost savings from preventing SSIs are substantial, benefiting both healthcare systems and patients by reducing the need for prolonged care and antibiotic treatments. This review article calls for greater integration of IPC measures in global surgery initiatives to ensure that surgical interventions are both life-saving and equitable. Strengthening IPC is not optional but essential for achieving the broader goals of universal health coverage and improving public health outcomes globally.
纳入感染预防与控制（IPC）对于加强全球外科手术至关重要，尤其是在低收入和中等收入国家（LMICs）。这篇综述文章强调了IPC在确保公平和可持续的外科护理方面所起的关键作用，这与旨在促进健康和减少不平等的可持续发展目标（SDG）3和10相一致。手术部位感染（SSIs）和其他医疗保健相关感染（HAIs）对LMICs的影响尤为严重，这些国家的IPC基础设施往往不发达。如果没有强有力的IPC措施，这些地区的手术可能会导致更高的发病率、死亡率和医疗成本，加剧医疗服务可及性和治疗结果方面的差距。尽管有全球努力，如世界卫生组织（WHO）的《手术部位感染预防指南》，但IPC在外科实践中的整合仍然不一致，特别是在资源有限的环境中。需要更广泛地采用和实施。通过将IPC纳入全球手术框架，卫生系统可以改善手术结果、降低成本并增强医疗系统的恢复力。有效的IPC可减少延长住院时间、限制抗菌药物耐药性的传播并增加对手术服务的信任。此外，预防SSIs节省的成本相当可观，通过减少长期护理和抗生素治疗的需求，使医疗系统和患者都受益。这篇综述文章呼吁在全球手术倡议中更大程度地整合IPC措施，以确保手术干预既挽救生命又公平。加强IPC不是可有可无的，而是实现全民健康覆盖这一更广泛目标以及改善全球公共卫生结果的关键。
