At the Johns Hopkins Hospital, we perform SSI surveillance for coronary artery bypass graft (CABG), Cesarean section (C-section), craniotomy, laminectomy, hip replacement, knee replacement, adult spinal fusion, and pediatric spinal fusion procedures. We utilize surveillance definitions from the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). The National Surgical Quality Improvement Program (NSQIP) methodology is used to perform SSI surveillance following colon surgery. SSI rates are expressed as the number of infections per 100 procedures for each type of surgery. A comprehensive SSI prevention program includes root cause analysis of each infection and programs to promote, monitor and sustain evidence-based best practices for SSI prevention.
Tools and Resources
- Summary of Evidence-based Best Practices for SSI Prevention
- OR Attire and Procedures Audit Tool
- SHEA-IDSA Compendium of Strategies to Prevent Surgical Site Infections in Acute Care Hospitals
- HICPAC Guideline for the Prevention of Surgical Site Infection
- The Joint Commission- Information on the Surgical Care Improvement Project