Correspondence  |   January 2018
World Health Organization Responds to Concerns about Surgical Site Infection Prevention Recommendations
Author Notes
  • Infection Prevention and Control Global Unit, Service Delivery and Safety, Health Systems and Innovations, World Health Organization, Geneva, Switzerland (B.A.). allegranzib@who.int
  • (Accepted for publication September 27, 2017.)
    (Accepted for publication September 27, 2017.)×
Article Information
Correspondence
Correspondence   |   January 2018
World Health Organization Responds to Concerns about Surgical Site Infection Prevention Recommendations
Anesthesiology 1 2018, Vol.128, 221-222. doi:10.1097/ALN.0000000000001941
Anesthesiology 1 2018, Vol.128, 221-222. doi:10.1097/ALN.0000000000001941
We read with great interest the editorial by Hedenstierna et al.1  on the recent World Health Organization (WHO) guidelines for the prevention of surgical site infections (SSIs). Some of the issues raised have been already addressed in Lancet Infectious Diseases in response to previous comments.2,3 
It is important to note that guidelines developed by WHO are not based simply on meta-analyses, as suggested by Hedenstierna et al. Rather, WHO uses the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to rate the quality of a body of evidence and to produce information that is used by guideline panels to formulate recommendations. This includes carefully considering the balance of benefits and harms and aspects related to patient values and preferences, resource implications, feasibility, and acceptability.4  The guideline panels are composed of international experts from several countries and with different professional and cultural backgrounds.5  Through this process, the issues raised by Hedenstierna et al. were examined, and the panel consensus deemed it appropriate to formulate a recommendation for this intervention.
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