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Highlighting the gaps in quantifying the economic burden of surgical site infections associated with antimicrobial-resistant bacteria

Iskandar, Katia and Sartelli, Massimo and Tabbal, Marwan and Ansaloni, Luca and Baiocchi, Gian Luca and Catena, Fausto and Coccolini, Federico and Haque, Mainul and Labricciosa, Francesco Maria and Moghabghab, Ayad and Pagani, Leonardo and Hanna, Pierre Abi and Roques, Christine and Salameh, Pascale and Molinier, Laurent Highlighting the gaps in quantifying the economic burden of surgical site infections associated with antimicrobial-resistant bacteria. (2019) World Journal of Emergency Surgery, 14 (50). 1-14. ISSN 1749-7922

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Official URL: https://doi.org/10.1186/s13017-019-0266-x

Abstract

Antibiotics are the pillar of surgery from prophylaxis to treatment; any failure is potentially a leading cause for increased morbidity and mortality. Robust data on the burden of SSI especially those due to antimicrobial resistance (AMR) show variable rates between countries and geographical regions but accurate estimates of the incidence of surgical site infections (SSI) due to AMR and its related global economic impact are yet to be determined. Quantifying the burden of SSI treatment is an incentive to sensitize governments, healthcare systems, and the society to invest in quality improvement and sustainable development. However in the absence of a unified epidemiologically sound infection definition of SSI and a well-designed global surveillance system, the end result is a lack of accurate and reliable data that limits the comparability of estimates between countries and the possibility of tracking changes to inform healthcare professionals about the appropriateness of implemented infection prevention and control strategies. This review aims to highlight the reported gaps in surveillance methods, epidemiologic data, and evidence-based SSI prevention practices and in the methodologies undertaken for the evaluation of the economic burden of SSI associated with AMR bacteria. If efforts to tackle this problem are taken in isolation without a global alliance and data is still lacking generalizability and comparability, we may see the future as a race between the global research efforts for the advancement in surgery and the global alarming reports of the increased incidence of antimicrobial-resistant pathogens threatening to undermine any achievement.

Item Type:Article
Additional Information:Thanks to Springer Nature editor. This is an open access article under the CC BY-NC-ND license : https://creativecommons.org/licenses/by-nc-nd/4.0/. Thanks to Springer Nature editor. The definitive version of this document is available at: https://wjes.biomedcentral.com/articles/10.1186/s13017-019-0266-x
HAL Id:hal-02640974
Audience (journal):International peer-reviewed journal
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Institution:French research institutions > Centre National de la Recherche Scientifique - CNRS (FRANCE)
Université de Toulouse > Institut National Polytechnique de Toulouse - Toulouse INP (FRANCE)
Université de Toulouse > Université Toulouse III - Paul Sabatier - UT3 (FRANCE)
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Deposited On:07 May 2020 13:19

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