Surgical site infection (SSI) is the third most commonly reported nosocomia
l infection and accounts for 14-16% of all nosocomial infections among hosp
ital inpatients. A successful SSI surveillance programme includes standardi
zed definitions of infection, effective surveillance methods and stratifica
tion of the SSI rates according to risk factors associated with the develop
ment of SSI. Surveillance with feedback of information to surgeons and othe
r relevant staff has been shown to be an important element in the overall s
trategy to reduce the numbers of SSIs. This paper examines the essential co
mponents of a SSI surveillance system including surveillance methods, data
collection and handling, analysis and presentation of results to clinical s
taff (C) 2000 The Hospital Infection Society.