New Guidelines for Prevention, Detection and Management of Surgical Site Infections Interview with:

Kristen A. Ban, MD Loyola University American College Surgery Clinical Scholar

Dr. Kristen Ban

Kristen A. Ban, MD
Loyola University
American College Surgery Clinical Scholar What is the background for this study? What are the main findings?
Response: The American College of Surgeons previously released surgical site infections (SSI) guidelines, and we wanted to update them with the most recent literature to give surgeons a concise, comprehensive document of recommended practices to reduce SSI. We were very fortunate to partner with our colleagues and content experts at the Surgical Infection Society for this update. There are a few areas where we had additional literature to support new or different guidelines.

Blood glucose control is now recommended for all patients regardless of diabetic status. SSI reduction bundles have become very popular, and we emphasize that compliance must be high with all parts of these bundles to obtain the maximum benefit.

Finally, we recommend cessation of prophylactic antibiotics at incision closure with some exceptions (mainly in regard to implanted material/hardware). What should readers take away from your report?

Response: We hope that these guidelines can be an accessible and easy-to-reference document for SSI reduction best practices. We hope we have highlighted areas where there is high-quality evidence to support recommendations and areas where high-quality evidence is still lacking. What recommendations do you have for future research as a result of this study?

Response: There is a lot of controversy around surgical attire because there is no high-quality evidence to support recommendations. Additionally, the post-discharge phase of care is a very promising area for research. Topics including home wound care and wound surveillance will likely have some exciting new publications in the near future. Thank you for your contribution to the community.


American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update
Ban, Kristen A. et al.
Journal of the American College of Surgeons , Volume 224 , Issue 1 , 59 – 74

Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions.

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Last Updated on January 24, 2017 by Marie Benz MD FAAD