Infection Control Hospital Epidemiology (2023),1-26dot10.1017/ce.2023.67SHEASHEA/IDSA/APIC Practice RecommendationStrategies to prevent surgical site infections in acute-care hospitals:2022 UpdateMichael S.Calderwood MD,MPH1.2,Deverick J.Anderson MD,MPH22 Dale W.Bratzler DO,MPH3,E.Patchen Dellinger MD,Sylvia Garcia-Houchins RN,MBA,CIC5,Lisa L.Maragakis MD,MPH5,Ann-Christine Nyquist MD,MSPH7,Kiran M.Perkins MD,MPH8,Michael Anne Preas RN,MS,CIC9,Lisa Saiman MD,MPH10 Joshua K.Schaffzin MD,PhD11,Marin Schweizer PhD12,Deborah S.Yokoe MD,MPH13and Keith S.Kaye MD,MPH14.bDartmouth Hitchcock Medical Center,Lebanon,New Hampshire,United States,2Duke Center for Antimicrobial Stewardship and Infection Prevention,DukeUniversity School of Medicine,Durham,North Carolina,United States,3University of Oklahoma Health Sciences Center,Oklahoma City,Oklahoma,United States,University of Washington Medical Center,Seattle,Washington,United States,SThe Joint Commission,Oakbrook Terrace,Illinois,United States,Johns HopkinsSchool of Medicine,Baltimore,Maryland,United States,'Children's Hospital Colorado,University of Colorado School of Medicine,Aurora,Colorado,UnitedStates,Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia,United States,University of Maryland MedicalSystem,Baltimore,Maryland,United States,Columbia University Irving Medical Center and NewYork-Presbyterian Hospital,New York,New York,United States,Children's Hospital of Eastem Ontario,University of Ottawa,Ottawa,Ontario,Canada,Center for Access and Delivery Research and Evaluation,lowa City VAHealth Care System,University of lowa,lowa City,lowa,University of California-San Francisco,San Francisco,California,United States and Rutgers RobertWood Johnson Medical School,New Brunswick,New Jersey,United StatesAbstract and purposeThe intent of this document is to highlight practical recommendations in a concise format designed to assist acute-care hospitals in imple-menting and prioritizing their surgical site infection (SSI)prevention efforts.This document updates the Strategies to Prevent Surgical SiteInfections in Acute Care Hospitals published in 2014.This expert guidance document is sponsored by the Society for Healthcare Epidemiologyof America(SHEA).It is the product of a collaborative effort led by SHEA,the Infectious Diseases Society of America(IDSA),the Associationfor Professionals in Infection Controland Epidemiology(APIC),the American Hospital Association(AHA),and The Joint Commission,withmajor contributions from representatives of a number of organizations and societies with content expertise.(Received 20 March 2023;accepted 21 March 2023)Summary of major changesa complete summary of recommendations contained in thisdocument.This section lists major changes from the Strategies to PreventSurgical Site Infections in Acute Care Hospitals:2014 Update,induding recommendations that have been added,removed,orEssential practicesaltered.Recommendations are categoriz
