Core value | Dedication, commitment, consistency, and leadership support |
Fundamental | The same definition of SSI should be used across all sites and time periods |
In LMICs: definitions based on clinical signs and symptoms should be prioritized | |
Stakeholders | Government, society, patient, patient family, hospitals, and payers |
Surveillance methods | Direct, prospective in-hospital and post hospital discharge |
In LMICs: possible mobile phone contact | |
Surveillance duration | Continuous surveillance of SSI rates per patient case and per surgical procedure |
In LMICs: At least 3 to 6Â month | |
Patient follow –up | In-hospital |
30-days or up to 90Â days post-discharge | |
One year for surgical procedures that requires an implant | |
Surveillance team | Core team: surgical staff, theater staff and IPC staff |
Surveillance team qualifications | Highly trained on surveillance method |
High level of competency for data management and analysis | |
Basic background in epidemiology, microbiology, and communicable diseases | |
Surveillance protocol | Detailed written plan including elements of the surveillance process integrated into a comprehensive infection control risk assessment process |
Training materials and information sheets | |
Detailed method of data validation | |
Constant intensity of surveillance for an area of interest | |
Data | Detailed patient inclusion and exclusion criteria |
Stratifying by patient characteristicsa | |
Date of onset of infection, isolate results, antibiotic code, antimicrobial susceptibility testing results; microorganisms and antimicrobial resistance data | |
Data sources | Medical records and human resources records |
Financial services and Information services | |
Ancillary service reports; admission diagnoses reports; administrative/management reports; public health reports; marketing reports | |
Surgical database | |
Other sources: quality/utilization management; risk management; community agencies; occupational/employee health; communication with caregivers | |
Data entry | Preferably electronic support previously tested for accuracy and reliability |
Data collection tools | Hospital size, type, location, code, surveillance period start |
Post-discharge surveillance: READM; REPSURG; REPGP; REPPAT; ICSURG; ICGP; CPAT | |
Data analysis | Present risk-adjusted SSI incidence; crude estimates; NNIS risk index |
Ethical issues | Patient, hospital, and unit confidentiality |
A pre-discharge patient education and engagement with a signed assent |