All of the NHS boards in Scotland are participating in the surgical site infection (SSI) programme from the Scottish Surveillance of Healthcare Associated Infection Programme (SSHAIP).
For the period April 2002 - June 2007, 1232 in patient SSIs, resulting from 82160 operations in 10 categories of surgical procedures have been reported to SSHAIP. In the last year 01/07/2006 to 30/06/2007 241 in patient SSIs resulting from 22830 operations have been reported to SSHAIP.
The SSI rates in Scotland over the duration of the SSI surveillance programme have been relatively stable for most categories of surgery. The published rates for the last year are lower than the previous year for all categories of surgery, indicating a downward trend in SSI in Scotland.
The results from the surveillance have been used by NHS boards at a local level to review clinical practice and have resulted in improvements in performance, both in terms of the process of care, e.g., antibiotic prophylaxis compliance and in terms of outcome, i.e., reduction in SSI rates.