CDC Updates Surgical Site Infection Guideline
June 20, 2017
The Centers for Disease Control and Prevention (CDC) has updated its “Guideline for the Prevention of Surgical Site Infection.”
Published in the JAMA Surgery journal, the 2017 SSI guideline updates the last version, which was published in 1999.
CDC conducted a “targeted systematic review” of nearly 5,500 studies published from 1998 through April 2014. Findings include the following:
- Prior to surgery, patients should shower or bathe with soap or an antiseptic agent on at least the night before the operative day.
- Antimicrobial prophylaxis should be administered only when indicated (based on published clinical practice guidelines) and timed so that a bactericidal concentration of the agents is established in the serum and tissues when the incision is made.
- Skin prep in the operating room should be performed using an alcohol-based agent, unless contraindicated.
- For clean and clean-contaminated procedures, additional prophylactic antimicrobial agent doses should not be administered after the surgical incision is closed in the operating room, even in the presence of a drain.
- Topical antimicrobial agents should not be applied to the surgical incision.
- During surgery, glycemic control should be implemented using blood glucose target levels less than 200 mg/dL.
- Normothermia should be maintained in all patients.
- Increased fraction of inspired oxygen should be administered during surgery and after extubation in the immediate postoperative period for patients with normal pulmonary function undergoing general anesthesia with endotracheal intubation.
As CDC notes, recommendations made in the guideline should be incorporated into surgical quality improvement programs.
To review all of the findings and in greater detail, view the new SSI guideline.