Sternal Wound Infections (SWI) are one of the major complication post-surgical interventions that have a negative effect on LOS, health costs morbidity and mortality.  This is why it’s important that an early active surveillance program is put in place in all cardiothoracic surgical units.  A task force must analyze cause of infections and put forth all the guidelines and recommendation on the prevention of SWI as well as having a clear knowledge on how to classify infections according to the CDC definitions .Our hospital experience has shown that standardization of processes is of fundamental importance, that active surveillance  plays a key role in monitoring implemented measures and promote changes as well as keeping staff attention high. A multimodal and multidisciplinary approach is highly recommended.

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