Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape

Abstract Incorporating infection prevention and control (IPC) is crucial for strengthening global surgery, particularly in low- and middle-income countries (LMICs). This review article highlights the critical role IPC plays in ensuring equitable and sustainable surgical care, aligning with the Susta...

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Main Authors: Chandler Hinson, Claire Kilpatrick, Kemal Rasa, Jianan Ren, Peter Nthumba, Robert Sawyer, Emmanuel Ameh
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-024-02695-7
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author Chandler Hinson
Claire Kilpatrick
Kemal Rasa
Jianan Ren
Peter Nthumba
Robert Sawyer
Emmanuel Ameh
author_facet Chandler Hinson
Claire Kilpatrick
Kemal Rasa
Jianan Ren
Peter Nthumba
Robert Sawyer
Emmanuel Ameh
author_sort Chandler Hinson
collection DOAJ
description Abstract Incorporating infection prevention and control (IPC) is crucial for strengthening global surgery, particularly in low- and middle-income countries (LMICs). This review article highlights the critical role IPC plays in ensuring equitable and sustainable surgical care, aligning with the Sustainable Development Goals (SDG) 3 and 10, which aim to promote health and reduce inequalities. Surgical site infections (SSIs) and other healthcare-associated infections (HAIs) disproportionately affect LMICs, where IPC infrastructure is often underdeveloped. Without robust IPC measures, surgeries in these regions can result in higher morbidity, mortality, and healthcare costs, exacerbating disparities in healthcare access and outcomes. Despite global efforts, such as the World Health Organization (WHO) Guidelines on the Prevention of Surgical Site Infections, IPC integration in surgical practices remains inconsistent, particularly in resource-constrained settings. More widespread adoption and implementation are necessary. By embedding IPC within global surgery frameworks, health systems can improve surgical outcomes, reduce costs, and enhance the resilience of healthcare systems. Effective IPC reduces extended hospital stays, limits the spread of antimicrobial resistance, and increases trust in surgical services. Moreover, the cost savings from preventing SSIs are substantial, benefiting both healthcare systems and patients by reducing the need for prolonged care and antibiotic treatments. This review article calls for greater integration of IPC measures in global surgery initiatives to ensure that surgical interventions are both life-saving and equitable. Strengthening IPC is not optional but essential for achieving the broader goals of universal health coverage and improving public health outcomes globally.
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spelling doaj-art-e3ddb7b52ab841cdb4917c557480b5132025-08-20T02:39:51ZengBMCBMC Surgery1471-24822024-12-0124111010.1186/s12893-024-02695-7Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscapeChandler Hinson0Claire Kilpatrick1Kemal Rasa2Jianan Ren3Peter Nthumba4Robert Sawyer5Emmanuel Ameh6World Surgical Infection SocietyWorld Surgical Infection SocietyWorld Surgical Infection SocietyWorld Surgical Infection SocietyWorld Surgical Infection SocietyWorld Surgical Infection SocietyWorld Surgical Infection SocietyAbstract Incorporating infection prevention and control (IPC) is crucial for strengthening global surgery, particularly in low- and middle-income countries (LMICs). This review article highlights the critical role IPC plays in ensuring equitable and sustainable surgical care, aligning with the Sustainable Development Goals (SDG) 3 and 10, which aim to promote health and reduce inequalities. Surgical site infections (SSIs) and other healthcare-associated infections (HAIs) disproportionately affect LMICs, where IPC infrastructure is often underdeveloped. Without robust IPC measures, surgeries in these regions can result in higher morbidity, mortality, and healthcare costs, exacerbating disparities in healthcare access and outcomes. Despite global efforts, such as the World Health Organization (WHO) Guidelines on the Prevention of Surgical Site Infections, IPC integration in surgical practices remains inconsistent, particularly in resource-constrained settings. More widespread adoption and implementation are necessary. By embedding IPC within global surgery frameworks, health systems can improve surgical outcomes, reduce costs, and enhance the resilience of healthcare systems. Effective IPC reduces extended hospital stays, limits the spread of antimicrobial resistance, and increases trust in surgical services. Moreover, the cost savings from preventing SSIs are substantial, benefiting both healthcare systems and patients by reducing the need for prolonged care and antibiotic treatments. This review article calls for greater integration of IPC measures in global surgery initiatives to ensure that surgical interventions are both life-saving and equitable. Strengthening IPC is not optional but essential for achieving the broader goals of universal health coverage and improving public health outcomes globally.https://doi.org/10.1186/s12893-024-02695-7Infection prevention and controlGlobal surgerySurgical site infectionsHealthcare-associated infectionsLow- and middle-income countriesAntimicrobial resistance
spellingShingle Chandler Hinson
Claire Kilpatrick
Kemal Rasa
Jianan Ren
Peter Nthumba
Robert Sawyer
Emmanuel Ameh
Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape
BMC Surgery
Infection prevention and control
Global surgery
Surgical site infections
Healthcare-associated infections
Low- and middle-income countries
Antimicrobial resistance
title Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape
title_full Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape
title_fullStr Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape
title_full_unstemmed Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape
title_short Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape
title_sort global surgery is stronger when infection prevention and control is incorporated a commentary and review of the surgical infection landscape
topic Infection prevention and control
Global surgery
Surgical site infections
Healthcare-associated infections
Low- and middle-income countries
Antimicrobial resistance
url https://doi.org/10.1186/s12893-024-02695-7
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