An 11-year surveillance program in Victoria, Australia, demonstrated decreasing overall surgical site infection rates but a significant increase in antimicrobial-resistant infections, highlighting the need for refined prophylaxis and expanded national surveillance.
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Rising AMR SSIs despite declining overall rates supports expanded surveillance; hypothesis-generating and should not yet change practice.
Standardized SSI surveillance methods have been implemented in Victoria, Australia. Over an 11-year period, diminishing rates of SSIs have been observed, although AMR infections increased significantly. Our findings facilitate the refinement of recommended surgical antibiotic prophylaxis regimens and highlight the need for a more expansive national surveillance strategy to identify changes in epidemiology.
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Worth et al. (2015) studied this question.
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