Editor's Note The Society for Healthcare Epidemiology of America (SHEA) has updated the Strategies to Prevent Surgical Site Infection in Acute Care Hospitals, which was published in 2014. The update highlights practical recommendations designed to assist acute-care hospitals in implementing and prioritizing their surgical site infection (SSI) prevention efforts. Among…

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Surgical site infection (SSI) surveillance has rapidly grown in the ambulatory setting over the last decade, with the expansion of the Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network’s (NHSN) Outpatient Procedure Component (OPC). OPC-SSI is designed to track and monitor SSIs in ambulatory surgery centers (ASCs)…

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Editor's Note This study from the Mayo Clinic finds that perioperative COVID-19 precautions did not significantly reduce the risk of surgical site infections (SSIs). The analysis included 29,904 patients who had colorectal, hysterectomy, hip, and knee prosthesis procedures at the Mayo Clinic’s multicenter institution between January 1, 2018 and December…

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Editor's Note This study from the University of Maryland School of Medicine and Veterans Affairs Medical Center, Baltimore, finds that COVID-19 is associated with decreased overall and complication-free survival, primarily in the early postoperative period. Of 153,741 surgical patients analyzed between March 2020 and 2021, 4,778 COVID-19-positive patients were matched…

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Editor's Note This update to the 2014 "Strategies to Prevent Surgical Site Infections in Acute Care Hospitals" recommends that antibiotics be discontinued after a patient’s incision has been closed in the OR, even if drains are present. The expert panel members writing the update add that continuing antibiotics after closure…

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Editor's Note The Leapfrog Group, on May 3, announced that its new Hospital Safety Grade shows a significant increase in healthcare-associated infections (HAIs) during the COVID-19 pandemic, spiking to a 5-year high and remaining high. Their analysis found that the average: Central line-associated bloodstream infection (CLABSI) ratio increased 60% Methicillin-resistant…

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Editor's Note This study from Finland examines the associations between nurse understaffing and limited work experience on the risk of healthcare-associated infections (HAIs). Patient and staff data from 40 care units and 261,067 admissions in one hospital district in Finland were analyzed. The researchers found that 1- or 2-day exposure…

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Editor's Note In this study, researchers from the Duke Infection Control Outreach Network Surveillance Team, Duke University School of Medicine,  Durham, North Carolina, find that surgical site infection (SSI) rates did not decrease in community hospitals from 2013 to 2018. SSI data was collected from patients having 26 common surgical…

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Editor's Note This investigation by the Kentucky Department for Public Health and Centers for Disease Control and Prevention of eight cases of rapidly growing mycobacteria (RGM) infections in a Kentucky hospital after total joint replacement procedures found that the presence of a particular OR nurse was significantly associated with the…

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Editor's Note This study led by the Medical College of Wisconsin, Milwaukee, examines the longitudinal rates, risk factors, and costs of superficial and deep incisional surgical site infections (SSIs) after primary and revision total knee arthroplasties (TKAs). A total of 26,097 primary TKA patients and 3,663 revision TKA patients were…

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