Newly Published
Editorial Views  |   June 2019
Modification of the World Health Organization Global Guidelines for Prevention of Surgical Site Infection Is Needed
Author Notes
  • From the Department of Medical Sciences, Clinical Physiology (G.H.), and the Department of Surgical Sciences, the Hedenstierna Laboratory (G.P., A.L.), Uppsala University, Sweden; the Department of Anaesthesia and Intensive Care, Bispebjerg and Frederiksberg Hospital, University of Copenhagen (C.S.M.); the Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital (J.W.); and the Department of Anesthesia, Rigshospitalet University of Copenhagen (L.S.R.), Denmark.
  • Accepted for publication May 6, 2019.
    Accepted for publication May 6, 2019.×
  • Correspondence: Address correspondence to Dr. Hedenstierna: goran.hedenstierna@medsci.uu.se
Article Information
Editorial Views / Infectious Disease / Quality Improvement
Editorial Views   |   June 2019
Modification of the World Health Organization Global Guidelines for Prevention of Surgical Site Infection Is Needed
Anesthesiology Newly Published on June 20, 2019. doi:10.1097/ALN.0000000000002848
Anesthesiology Newly Published on June 20, 2019. doi:10.1097/ALN.0000000000002848
In 2016, the World Health Organization (WHO) published recommendations to reduce surgical site infection.1  The guidelines, based on a meta-analysis of the literature, concluded that any patient being anesthetized, intubated, and mechanically ventilated for surgery should receive 80% O2 during the anesthesia and, if feasible, for 2 to 6 h after surgery. The recommendations did not include pediatric patients and anesthesia administered without tracheal intubation, and noted that uncertainties still remained and further research was needed. However, the statistical analysis was immediately met by criticism by us,2  and the conclusions that were drawn were considered insufficiently supported.3  A letter to the authors of the WHO guidelines demonstrated further weaknesses in the analysis.4  Similar criticism has been presented by others.5–7