Here is your PDF: 9 Surgical Site Infection (SSI) Event; Keywords: ssi procedure operative infection nhsn surveillance surgical

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CDC/OID/NCEZID/DHQP

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2019-02-20 17:12:22.449594

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January 2019 9-1 Procedure-associated Module SSI Surgical Site Infection (SSI) Event Introduction: In 2014, a total of 14.2 millon operative procedures were performed in the inpatient setting in United States hospitals 1. The CDC healthcare-associated infection (HAI) prevalence survey found that there were an estimated 157,500 surgical site infections (SSIs) associated with inpatient surgeries in 2011 2. NHSN data included 16,147 SSIs following 849,659 operative procedures in all groups reported, for an overall SSI rate of 1.9% between 2006-2008 3. A 17% decrease in SSI related to 10 select procedures was reported between 2008 and 2014 4. While advances have been made in infection control practices, including improved operating room ventilation, sterilization methods, barriers, surgical technique, and availability of antimicrobial prophylaxis, SSIs remain a substantial cause of morbidity, prolonged hospitalization, and death. SSI is associated with a mortality rate of 3%, and 75% of SSI- associated deaths are directly attributable to the SSI 5. SSI is the most costly HAI type with an estimated annual cost of $3.3 billion, and is associated with nearly 1 million additional inpatient-days annually 6,7 . Surveillance of SSI with feedback of appropriate data to surgeons has been shown to be an important component of strategies to reduce SSI risk 8-11 . A successful surveillance program includes the use of epidemiologically-sound infection definitions and effective surveillance methods, stratification of SSI rates according to risk factors associated with SSI development, and data feedback 9, 10. The most recent CDC and Healthcare Infection Control Practices Advisory Committee Guideline for the Prevention of Surgical Site Infection was published in 2017; this guideline provides evidence-based strategies for SSI prevention 11 . Settings: Surveillance of surgical patients will occur in any inpatient facility and/or hospital outpatient procedure department (HOPD) where the selected NHSN o perative procedure(s) are performed. Note: SSI surveillance in Ambulatory Surgery Centers (ASCs) should be performed using the Outpatient Procedure Component (OPC). The OPC replaces the use of the SSI protocol for ASCs. Requirements: Perform surveillance for SSI following at least one NHSN operative procedure category (that is included in ICD-10-PCS and/or CPT NHSN operative procedure code mapping) as indicated in the Patient Safety Monthly Reporting Plan (CDC 57.106 ). Collect SSI event (numerator ) and operative procedure category (denominator) data on all procedures included in the selected operative procedure categorie s indicated on the A procedure must meet the NHSN definition of an operative procedure in order to be included in SSI surveillance. All procedures included in the NHSN monthly

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