Re-certification Reflections and Clinical Updates on Procalcitonin, VAP, and Septic Shock Management

Host Dr. Fred Pieracci and special guest Dr. Jared Huston dive into the tough topics of surgical critical care recertification and current practices in infection management.

Dr. Pieracci and Dr. Huston share their contrasting approaches to the two-year recertification exam and use it as a springboard to review core principles. They discuss the limited role of procalcitonin in their ICUs, the shift toward using PCR results to safely minimize empiric antibiotics in VAP, and the priority of achieving source control before medical management. The doctors also touch on advanced concepts like the use of Angiotensin II in pressor-refractory septic shock and the vital importance of risk stratifying patients for appropriate antibiotic stewardship.

Finally, Dr. Pieracci and Dr. Huston encourage all trainees and junior faculty to take full advantage of the Surgical Infection Society (SIS)’s abundant abstract submission and funding opportunities, emphasizing the society’s role in guiding the next generation of academic surgeons.

The Streets of SIS 2025 – Part 2: Project ACCESS & The Future of Surgical Infection Prevention

Join us for Part 2 of our exclusive look at the SIS 2025 Annual Meeting! In this episode, we sit down with SIS President-elect Dr. Lillian Kao to discuss conference highlights. Plus, Dr. Mayur Narayan introduces Project ACCESS, an ambitious AI initiative aimed at revolutionizing surgical site infection (SSI) prediction and prevention. Learn how this multimodal approach uses AI to analyze preoperative, intraoperative, and postoperative data to improve patient outcomes and address global healthcare disparities.

The Streets of SIS 2025 – Part 1

In this special episode of Source Control, recorded live from the SIS 2025 Philadelphia conference, co-hosts April Mendoza and Dante Ye bring you exclusive interviews. Hear from Rebecca Meltzer, a fourth-year resident and winner of the highest-scoring abstract, as she discusses her innovative research on gut microbiota and fecal microbiota transplants for surgical infections. We also catch up with newly announced counselor at large, Chris Guidry, who shares his enduring appreciation for the intimate and impactful SIS community. Plus, Philadelphia native Dr. Lou Kaplan offers an insider’s guide to his beloved hometown. Finally, SIS President Marc Jeschke outlines his vision for the society’s future, emphasizing strategic growth, increased communication, and a renewed focus on attracting basic scientists to the field.

The State of Surgical Site Infections

Join us for a crucial discussion on surgical site infections (SSIs). This episode dives into the challenges of post-operative wound care and management, revealing the surprising lack of standardized approaches and robust evidence, particularly after hospital discharge. Discover insights into the recent guidelines put forth by the International Surgical Wound Complications Advisory Panel (ISWCAP), as well as the vital role of industry collaboration in developing new solutions. Plus, get a sneak peek at the upcoming Surgical Infection Society (SIS) annual meeting.

SIS Meeting Preview, Source Control Tales, & New Year Reflections

This episode on Source Control, the team discusses the upcoming SIS 44th Annual Meeting in Philadelphia with guest Daithi Heffernan. Learn about the program committee’s hard work, the new meeting schedule, and how to get involved. Plus, trauma surgeon Hussain Ladani shares his experience adjusting to life as an attending physician and Dr. Heffernan shares a classic source control case.

IV Fluid Shortage Meets Surgical Infections

In this holiday edition of Source Control, Fred and Heather discuss the intersection of the current IV fluid shortage and management of surgical infection, including resuscitation strategies for septic shock, when and with what to irrigate for intra-abdominal sepsis, and if IV antibiotics are really better than PO.

What the FSIS?

In this episode, April, Fred and Jared interview Dr. Dante Yeh, chair of the fellowship committee, to discuss the recently created FSIS distinction.

Getting to Know Our SICU Pharmacist Colleagues

In this episode of “Source Control”, the official podcast of the Surgical Infection Society (SIS), hosts Dr. Fred Pieracci and Dr. April Mendoza explore the vital role of pharmacists in the SICU. They are joined by two special guests, Candice Preslaski and Sara Parli, both SICU pharmacists.

The hosts delve into the evolving relationship between surgeons and pharmacists in critical care, and the unique value that pharmacists bring to the surgical team. Listeners will learn about the specific contributions that pharmacists make to patient care, including medication management, antimicrobial stewardship, and providing crucial expertise on infectious diseases.

Abdominal Guidelines Update with Dr. Joe Forrester

In this episode of “Source Control”, the official podcast of the Surgical Infection Society (SIS), hosts Dr. Fred Peerachi and Dr. Jared Houston welcome Dr. Joe Forrester, current Chair of the SIS Therapeutics and Guidelines Committee, to discuss the recent update to the SIS Intra-Abdominal Infections Guidelines.

Dr. Forrester shares his insights into the updates and the process of developing these important resources for the surgical community. Listeners will learn about the key changes in the 2024 update, including the new recommendations for antibiotic duration after percutaneous drainage of intra-abdominal infections.

The hosts also explore the broader challenges of ensuring guidelines are adopted into clinical practice and discuss the role of the SIS Therapeutics and Guidelines Committee in advancing surgical infection care.

This episode is a must-listen for surgeons, researchers, and healthcare professionals who want to stay current on the latest SIS guidelines and best practices.

Unpacking Miami

In this episode of “Source Control”, the official podcast of the Surgical Infection Society (SIS), hosts Dr. Fred Peerachi and Dr. Jared Houston welcome Dr. Heather Evans, SIS President-Elect, for a lively recap of the recent SIS annual meeting in Miami.

The episode delves into the key takeaways from the meeting, including highlights of the scientific program and social events, and explores the importance of mentorship and creating a welcoming environment within the surgical infection field.

Listen in as the hosts discuss some of the unique aspects of the Miami meeting, including the inclusion of a basketball hoop and the growing presence of technology, such as robots, in healthcare.