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to Reduce th Breaking Do By: Rosie D. Lyles, MD, d l a u nn ts a t i os l h l i OS) w (AA s n o e g r u S c i d e a p o h t r O f o y my e d a Ac n a c i r e Am e h t , h t n o m is h T he Risk Surgical Site Infection wn Barriers of Noncomplianc d e s r u o n f fo io t uc r t s in n i d lu c n i s l o c o t o pr ts ien t a er p w o p em MHA, MSc, Head of Clinical Affairs, Clorox Healthcare A D V E R T O R I A L ns ce t si i e v s n i k S G H x ox r lo e C t n e i t at p n o d e s u e ve iv t at r e p o e r p t u l a c i n i l c t c a p d n a s e i g e t a n i s t n pa i c ti r pa d n a s r e d i v o r g in er w o p em e v o r p m o s t ier r r a e b h k t o t e u n i t n o c t us m t a h d t de emin e r r g n i t e e m l a u . m e t s y s nic o r t c le n e a o ide , v d r a e c of o pr r e t a w a g n ur o w y yo lo l o o f fo t thcare onal Institutes of Health. d as a SHEA and has serve nal organizations member of several isms (MDROs) and y and prevention of ecade of experience hysician-scientist with irs at Clorox Healthcare. s, MD, MHA, MSc, is Head . t i Ki G H C / m/ o c . e re car p al c gi r u s y t i al u q d n a y t e fe a s t n e ti pa f o s e n o t s r e n r o c e h t f o e n o , w, o kn s r e d i ov r p e r a c h t l a e h t s o m As . ty. e fe a s d n a e r ca t n e i t a p r e t t e b : d n i m n i y it or i pr e n o h t i w d e n g i s e d l l a y g o l o n ch te d n a h c r ea s e r , n o i t a c u d e n i t s e b e th o t s s e c c a s l a on i s s e ofe pr c i d e a p o h t or g n i d i v o r p , s a g e Ve s a L n i g n i t e me n e i t a p g n lpi e h , d e s u l o c o t o pr r p e r a c h t l a e h h t bo n – io t a t en lem p im d im n ce a n a li p m co k a e r d b n y a ify a t iden e w y r t us d n i n a as r e a , w ces en mm co u n n a S O A A e h t As s r e d n i m e r t n e ti pa d a n s a n io t uc r t s in s t n t S en v e r o p y t eg t ra t s s y's t li faci r u o y f o t r a p e b d l u sho me ho e n y e h t n o i t a m r o fo n i d n a s l o to h t h t i w s t n e i t a p g n i m r a , h c su n e m i g e r g n i r e ow h s c i t p e s i t n a i m d a e r p o t e r e dh a o t s t n e ti pa l a ic g ur et s o g ys t e wa v i t c e fe eff h e hig r s a l i a icem o r v s o l i a em a s s e m t x e t s a h c u s s r e d n i m re o r ct e l e f o e s u e th 7 , s n o e ge rg u S of C n a c i r e m A e h th f of l a n r u Jo e th e h s li b u y p ud t o a s g t din r acco , n o i t i d d a In 6 . s n o i t a c i d me m er t-t r o h h s t i ce w n a li p m co iv r d n i e ol r t n a t r o p m i n a y a pl u r t s n i r a e l c t a h t w o h s s e i d u St s i t i o d o t w o h d an n e h w d an o d t e e y n e h t t a h d w n a t s der un h t i w e c an i l p m o c r e n o i t i t c a r p d an t ien t a g p in ur s d en n g a in t en lem p im , r e v e w Ho 5 . s e c ti c a r p ed s ba - e c n e d i v e t n e r r u c h it w d e t n e v e pr e y b ay b m s I S S f o % 5 5 y rl a ne t a h t d e l a e v re y gy o l o i m e d i p Ep l a t i p sp Ho d n a l o r t n o C n o i t c e fe Inf n i d e h s i l b pu y ud t . A s d e t en v e r e p n b a s c AI H t s o m , s e t a r n o i t c e fe n i h g i h e t i p s De 2,3,4 s. AI d H e t r o ep r y l t n e u q e r fr t s o m e h t s a g n i v r se ) s I S S ( s n o i t c e fe n i e t i s - l ca i g r u s h t wi , 1 r a e h y ac ur e cc s) o AI s (H n io t c e infe d e t a ci o s s e-a r a c h t l a e n h lio l mi 7 . 1 d e t a m i t s e n a , s e c i v r e S n a m Hu d n a th l ea H f o t n e m t r a p De . S . U e th o t g n i d r o c Ac . s n o i t c e fe n i e v i t a r e p o t- s o p f o n o i t n e v e r p e h t s i e r ca al c gi r u s y t i al u q d n a y t e fe a s t n e ti pa a le p , t i K g n i s n a e Cl H C % 4 ™ e r a c h t l a He e h d t n ce a n a li p m co u c o fo g n i s n an e l c n i sk u o b ab e r o m n r a e l To . s e m o c t ou p m i t a h t s r o i v a h be a r t s n o i t c u d e r k s ri p e v ti c a s a s t n e ti pa r p e r a c h t l a e h h t bo s. I S t a d e e e h As . s n n o i s s i y l , s e g a c i n o e ge eg l l o C d in e g n i v s n o i t c u . y. ke o do infection control professional organizations infections. She is an active member of several multidrug-resistant organis studying the epidemiology more than a decade of experience Dr. Lyles is a p of Clinical Affairs at Clorox Healthcare. Rosie D. Lyles, MD, MHA, MSc, is Head c hca th l al e H xH ox ro o Cl . www. s l o o s t l a l e s w es a s n a le G c CH r e p o e r p o w t r o fo s l a i t n e s s e e th n i a t n o c t i k e h T . t i K g n i s n a e Cl G H C % 4 ™ e r a c h t al e H x o r o Cl h t e ke i l t c u d o r p e n o n i l l a , e us - y s a e n a h it w m e h t g n i d i v o pr sider n , co y, co er g ur r s o f fo s t n e ti pa r u o y e r a p e r p o t k r o w u o y As s t s o C d n a y t i l a t r o M d e t a l Re e h t d n a e l b a t n e v re P y l b a n o s Rea sociated infections that ar e-as althcar He oportion of r "Estimating the P Williams K, Agarwal R, A, J Doshi , Mitchell MD A, Umscheid C 5 33.3(2012): 28 Infection Control and Hospital Epidemiology F sonville, ack J e hospitals in sociated infections in acute car as althc he evalence of r "P et al. J, ohen C , W Hellinger Magill SS, 4 252-258. 86.2(2007): 249-250, AORN Journal " gical Site Infections. Sur osts of he Not So hidden C T " TE. t Barnet 3 290.14(2003): 1868-1874 American Medical Association Journal of the " tributable to Medical Injuries during Hospitalization. At and Mortality ges, Char , tay S ength of s L ces "Ex Miller MR. Zhan C, 2 ork/pdf/infections.pdf .cdc.gov/washington/~cdcatW tp://www ht ) 9 0 0 2 ( n o i t n e v e r P d n a l o r t n Co ase enters for Dise " C sociated Infections. e-As althcar eventing He r "P 1 e th f o s s e l d r a g e r r e v e w o H . m e th n i h t i w n e v e d n a s e i t i l i c a fa n e e w t be y l l a c i t a m a r d r e fe ff i d n a c s l o c o t o pr g n i s n a e l c n i k s ) G H C ( e t a n o c u gl e n i d i x e h r o l h c e ve i t a r e p o e Pr g. n i g n e l l a h c e b n ca s l o c o t o r p n o i t n e ve e r p I S S l a m r fo h t i w e c an i l p m o c r e n o i t i t c a r p d an o s t e v i t a r all s n n i k S G e h - o t - peer reviewer for the National Institutes of Health. including APIC, IDSA and S p 219.2(2014): 256-264. , American College of Surgeons Journal of the " . l o c o t o r P g n i r e w o h S n o i s s i m d a e r P h t i w e c n a i l p m Co t n e i t a P g n i v o r p m I r o f y g e t a r t S e v i t a v o n n I n a f o s i s y l a n A e v i t c e p s o Pr andomized, R A atient: gical P "Empowering the Sur et al. Edmiston CE, 7 288.22(2002): 2880-2883. of the American Medical Association Journal " atment. e r T escribed r ollow P atients F "Helping P et al. RB, Haynes, 6 32.2(2011): 101-114. Control and Hospital Epidemiology Infection " . e ns that ar ennan PJ. Br 2-291. " Florida. e- car