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A deeper look at serious superficial incisional surgical site infections (SSISSIs): prevalence, impact, and implications for hospital performance rankings

Published online by Cambridge University Press:  18 February 2025

Jessica Seidelman Open the ORCID record for Jessica Seidelman [Opens in a new window] ,
Brittain Wood ,
Polly Padgette ,
Valerie Payne ,
Linda Crane ,
Linda Roach  and
Deverick J. Anderson Open the ORCID record for Deverick J. Anderson [Opens in a new window]
Jessica Seidelman*
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USA
Brittain Wood
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA
Polly Padgette
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA
Valerie Payne
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA
Linda Crane
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA
Linda Roach
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA
Deverick J. Anderson
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC, USA Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USA
*
Corresponding author: Jessica Seidelman; Email: [email protected]
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Abstract

Serious superficial incisional surgical site infections (SSISSIs) are a critical subset of SSIs that require surgical intervention or lead to hospital readmission. Analyzing 11,617 SSIs from 47 community hospitals, the inclusion of SSISSIs changed 30/47 hospital rankings (p = 0.02), highlighting the need for inclusion in standardized infection surveillance models.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 46 , Issue 4 , April 2025 , pp. 422 - 426
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

This data was previously presented as a poster at the SHEA 2024 conference April 18, 2024.

References

Seidelman, JL, Mantyh, CR, Anderson, DJ. Surgical site infection prevention: a review. JAMA 2023;329:244–252.CrossRefGoogle ScholarPubMed
Calderwood, MS, Anderson, DJ, Bratzler, DW, et al. Strategies to prevent surgical site infections in acute-care hospitals: 2022 update. Infect Control Hosp Epidemiol 2023;44:695–720.CrossRefGoogle ScholarPubMed
Anderson, DJ. Surgical site infections. Infect Dis Clin North Am. 2011;25:135–153.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. Surgical site infection (SSI) event. CDC website. Published 2024.Google Scholar
Seidelman, JL, Smith, B, Shoff, C, et al. Serious superficial incisional surgical site infections (SSISSIs): a proposed surveillance definition. Infect Control Hosp Epidemiol 2019;40:1258–1259.CrossRefGoogle ScholarPubMed
Anderson, DJ, Hartwig, MG, Pappas, T, et al. Surgical volume and the risk of surgical site infection in community hospitals: size matters. Ann Surg 2008;247:343–349.CrossRefGoogle ScholarPubMed
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