Surgical site infections represent a considerable burden for healthcare systems. To obtain a consensus on the impact and future clinical and economic needs regarding SSI management in an era of multidrug resistance. A modifed Delphi method was used to obtain consensus among experts from fve European countries. The Delphi questionnaire was assembled by a steering committee, verifed by a panel of experts and administered to 90 experts in 8 diferent surgical specialities (Abdominal, Cancer, Cardiac, General surgery, Orthopaedic, Thoracic, Transplant and Vascular and three other specialities (infectious disease, internal medicine microbiology). Respondents (n=52) reached consensus on 62/73 items including that resistant pathogens are an increasing matter of concern and increase both treatment complexity and the length of hospital stay. There was strong positive consensus on the cost-efectiveness of early discharge (ED) programs, improvement of quality of life with ED and association between increased length of stay and economic burden to the hospital. However, established ED protocols were not widely available in their hospitals. Respondents expressed a positive consensus on the usefulness of antibiotics that allow ED. Surgeons are aware of their responsibility in an interdisciplinary team for the treatment of SSI, and of the impact of multidrug-resistant bacteria in the context of SSI. Reducing the length of hospital stays by applying ED protocols and implementing new treatment alternatives is crucial to reduce harm to patients and costs for the hospital.

手术部位感染对医疗保健系统造成了相当大的负担。就多药耐药时代 SSI 管理的影响以及未来临床和经济需求达成共识。采用改良 Delphi 法获得欧洲五国专家的共识。Delphi问卷由指导委员会组成，由专家小组验证，并对8个不同外科专业（腹部、癌症、心脏、普外科、骨科、胸外科、移植和血管）和另外3个专业（传染病、内科微生物学）的90名专家进行管理。调查对象 (n = 52) 就62/73项达成共识，包括耐药病原体是越来越值得关注的问题，并增加了治疗复杂性和住院时间。关于早期出院 (ED) 项目的成本效益、ED生活质量的改善以及住院时间增加与医院经济负担之间的相关性，存在强烈的积极共识。然而，已确立的 ED 方案在其医院并不广泛可用。调查对象对允许 ED 的抗生素的有用性表示了积极的共识。外科医生意识到他们在跨学科团队中治疗 SSI 的责任，以及多重耐药菌在 SSI 背景下的影响。通过应用 ED 方案和实施新的治疗替代方案缩短住院时间对于减少对患者的伤害和医院成本至关重要。