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Surgical site infection (SSI) is one of the most frequent
complications after abdominal surgery as abdominal procedures are
often clean-contaminated, contaminated or even dirty procedures, so
long the gastrointestinal tract, plenty of microorganisms, is
entered. SSI is associated with morbidity and mortality, and
reduces the patients' quality of life after surgery. Moreover, it
prolongs hospital stay and requires increased instrumentation,
medication and complementary tests, altogether representing an
economic burden for the Health Services. This has led to the
development of several Guidelines and Consensus documents,
including prophylactic measures to prevent SSI. Different
scientific societies, including the World Health Organization
(WHO), the Center for Disease Control (CDC), the American College
of Surgeons (ACS) and the Surgical Infection Society (SIS), have
published recommendations for the prevention of SSI in the last
years. All the documents agree with most of the recommendations.
However, the evidence grade of these recommendations is often low
to moderate and with the aim to generalise these measures to all
the surgical procedures, the extrapolations lead to a lowered
evidence power. Thus, in some cases the force of the
recommendations is based on the opinion of experts in the field.
The aim of this book is to revise the actual evidence about these
prophylactic measures in abdominal surgery.
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