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Commentary: Negative pressure wound therapy for closed incisions—the new standard wound care?

2020; Elsevier BV; Volume: 167; Issue: 6 Linguagem: Inglês

10.1016/j.surg.2019.12.014

1532-7361

David B. Stewart,

Surgical Sutures and Adhesives

Surgical-site infections (SSIs) are the most common hospital-acquired infections in this country, 1 Ban K.A. Minei J.P. Laronga C. et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 update. J Am Coll Surg. 2017; 224: 59-74 Abstract Full Text Full Text PDF PubMed Scopus (459) Google Scholar affecting 2.8% of all surgeries performed in the United States. 2 Barie P.S. Surgical site infections: epidemiology and prevention. Surg Infect (Larchmt). 2002; 3: S9-S21 Crossref PubMed Scopus (85) Google Scholar Patients undergoing colorectal surgery epitomize a cohort at particular risk, with SSI rates as high as 30% in some series. 3 Elia-Guedea M. Cordoba-Diaz de Laspra E. Echazarreta-Gallego E. Valero-Lazaro M.I. Ramirez-Rodriguez J.M. Aguilella-Diago V. Colorectal surgery and surgical site infection: is a change of attitude necessary?. Int J Colorectal Dis. 2017; 32: 967-974 Crossref PubMed Scopus (10) Google Scholar SSIs, in turn, promote other surgical-site complications, such as hernia formation. When also including both upfront and downstream costs, SSIs are arguably the most expensive of all hospital-acquired infections in the United States, with over 3.5 billion dollars annually 1 Ban K.A. Minei J.P. Laronga C. et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 update. J Am Coll Surg. 2017; 224: 59-74 Abstract Full Text Full Text PDF PubMed Scopus (459) Google Scholar dedicated to their treatment. Hospital SSI data is also a publicly reportable outcome, serving as a quality measure and as a pay-for-performance metric, regardless of how preventable any 1 instance of this complication may or may not be.