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June 2, 2015

Bundled Approaches for Surgical Site Infection Prevention: The Continuing Quest to Get to Zero

Author Affiliations
  • 1Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, Ann Arbor
  • 2Associate Editor, JAMA
JAMA. 2015;313(21):2131-2132. doi:10.1001/jama.2015.6018

Although a well-timed operation can enhance both duration and quality of life, postoperative complications, including surgical site infections (SSIs), can offset some of the benefits of the operation. In addition to functional loss and mortality, SSIs are associated with increased length of stay and higher health care costs.1,2 SSIs are the most common reason for readmission after surgery,3 accounting for nearly 20% of unplanned readmissions. Among infecting organisms, Staphylococcus aureus consistently ranks as the most prevalent pathogen associated with SSIs, particularly after cardiac and orthopedic procedures.4S aureus SSIs can be devastating, especially when a prosthetic device is involved.