Providing an overview on the current status of diagnostic and treatment algorithms for SCI-AP, the survey’s main conclusions are: (I) X-ray findings provide important guidance for diagnosis of SCI-AP; (II) biomarkers such as C-reactive protein and procalcitonin are frequently requested supplementary parameters; (III) CDC-criteria comprise important items for defining HAP but modifications regarding their clinical feasibility for SCI-AP are required; and (IV) existing centre-specific SOPs in Germany seem to have no substantial influence on diagnostic accuracy of SCI-AP. This evidence concerns the gene CRP and alkaline phosphatase measurement.