Expert commentary on the challenges and opportunities for surgical site infection prevention through implementation of evidence-based guidelines in the Asia–Pacific Region
| Autor: | W. Danker, A. Seno, E. Saguil, Kil Yeon Lee, M. Spencer, M. Chakravarthy, Philip L. Russo, E. Edmiston Charles, Keita Morikane, Moi Lin Ling |
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| Rok vydání: | 2021 |
| Předmět: |
Microbiology (medical)
Asia Consensus Evidence-based practice Context (language use) Meeting Report Guidelines 030501 epidemiology Asia–Pacific lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Nursing Cultural diversity Humans Surgical Wound Infection Medicine lcsh:RC109-216 Pharmacology (medical) 030212 general & internal medicine Safety culture Healthcare-associated infection Human resources Infection Control Evidence-Based Medicine business.industry Australia Public Health Environmental and Occupational Health Stakeholder Infectious Diseases Implementation Practice Guidelines as Topic Accountability Quality of Life 0305 other medical science business Surgical site infection New Zealand |
| Zdroj: | Antimicrobial Resistance and Infection Control, Vol 10, Iss 1, Pp 1-10 (2021) Antimicrobial Resistance and Infection Control |
| ISSN: | 2047-2994 |
| DOI: | 10.1186/s13756-021-00916-9 |
| Popis: | Introduction Surgical site infections (SSIs) are a significant source of morbidity and mortality in the Asia–Pacific region (APAC), adversely impacting patient quality of life, fiscal productivity and placing a major economic burden on the country’s healthcare system. This commentary reports the findings of a two-day meeting that was held in Singapore on July 30–31, 2019, where a series of consensus recommendations were developed by an expert panel composed of infection control, surgical and quality experts from APAC nations in an effort to develop an evidence-based pathway to improving surgical patient outcomes in APAC. Methods The expert panel conducted a literature review targeting four sentinel areas within the APAC region: national and societal guidelines, implementation strategies, postoperative surveillance and clinical outcomes. The panel formulated a series of key questions regarding APAC-specific challenges and opportunities for SSI prevention. Results The expert panel identified several challenges for mitigating SSIs in APAC; (a) constraints on human resources, (b) lack of adequate policies and procedures, (c) lack of a strong safety culture, (d) limitation in funding resources, (e) environmental and geographic challenges, (f) cultural diversity, (g) poor patient awareness and (h) limitation in self-responsibility. Corrective strategies for guideline implementation in APAC were proposed that included: (a) institutional ownership of infection prevention strategies, (b) perform baseline assessments, (c) review evidence-based practices within the local context, (d) develop a plan for guideline implementation, (e) assess outcome and stakeholder feedback, and (f) ensure long-term sustainability. Conclusions Reducing the risk of SSIs in APAC region will require: (a) ongoing consultation and collaboration among stakeholders with a high level of clinical staff engagement and (b) a strong institutional and national commitment to alleviate the burden of SSIs by embracing a safety culture and accountability. |
| Databáze: | OpenAIRE |
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