Impact of Surveillance Technique on Reported Rates of Surgical Site Infection

2015 ◽  
Vol 36 (5) ◽  
pp. 594-596 ◽  
Author(s):  
Heather Young ◽  
Sara M. Reese ◽  
Bryan Knepper ◽  
Connie S. Price
Keyword(s):  
Surgical Site Infection ◽  
Online Survey ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Infection Preventionists

Surgical site infection (SSI) surveillance methods vary among infection preventionists. An online survey regarding SSI surveillance technique was administered to infection preventionists and linked to superficial and complex colon SSI rates. Higher superficial but not complex SSI rates were reported when more SSI surveillance techniques were used (P <.0001).Infect Control Hosp Epidemiol 2015;00(0): 1–3

An Evaluation of Surgical Site Infection Surveillance Methods for Colon Surgery and Hysterectomy in Colorado Hospitals

2014 ◽  
Vol 36 (3) ◽  
pp. 353-355 ◽  
Author(s):  
Sara M. Reese ◽  
Bryan C. Knepper ◽  
Connie S. Price ◽  
Heather L. Young
Keyword(s):  
Surgical Site Infection ◽  
Online Survey ◽  
Colon Surgery ◽  
Infect Control Hosp ◽  
Healthcare Personnel ◽  
Site Infection ◽  
Laboratory Values ◽  
Infection Surveillance ◽  
Infection Preventionists

Surgical site infection (SSI) surveillance techniques for colon surgery and hysterectomy among Colorado infection preventionists were characterized through an online survey. Considerable variation was found in SSI surveillance practices, specifically varying use of triggers for SSI review, including laboratory values, healthcare personnel communication, and postoperative visits.Infect Control Hosp Epidemiol 2014;00(0): 1–3

Validation of semiautomated surgical site infection surveillance using electronic screening algorithms in 38 surgery categories

2018 ◽  
Vol 39 (8) ◽  
pp. 931-935 ◽  
Author(s):  
Sun Young Cho ◽  
Doo Ryeon Chung ◽  
Jong Rim Choi ◽  
Doo Mi Kim ◽  
Si-Ho Kim ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Surveillance System ◽  
Chart Review ◽  
Medical Center ◽  
Tertiary Care ◽  
Microbial Culture ◽  
Site Infection ◽  
Electronic Screening ◽  
Sensitivity Specificity ◽  
Infection Preventionists

ObjectiveTo verify the validity of a semiautomated surgical site infection (SSI) surveillance system using electronic screening algorithms in 38 categories of surgery.DesignA cohort study for validation of semiautomated SSI surveillance system using screening algorithms.SettingA 1,989-bed tertiary-care referral center in Seoul, Republic of Korea.MethodsA dataset of 40,516 surgical procedures in 38 categories stored in the conventional SSI surveillance registry at the Samsung Medical Center between January 2013 and December 2014 was used as the reference standard. In the semiautomated surveillance system, electronic screening algorithms flagged cases meeting at least 1 of 3 criteria: antibiotic prescription, microbial culture, and infectious disease consultation. Flagged cases were audited by infection preventionists. Analyses of sensitivity, specificity, and positive predictive value (PPV) were conducted for the semiautomated surveillance system, and its effect on reducing the workload for chart review was evaluated.ResultsA total of 575 SSI events (1·42%) were identified by conventional SSI surveillance. The sensitivity of the semiautomated SSI surveillance was 96·7%, and the PPV of the screening algorithms alone was 4·1%. Semiautomated SSI surveillance reduced the chart review workload of the infection preventionists from 1,283 to 482 person hours per year (a 62·4% decrease).ConclusionsCompared to conventional surveillance, semiautomated surveillance using electronic screening algorithms followed by chart review of selected cases can provide high-validity surveillance results and can significantly reduce the workload of infection preventionists.

Surgical Site Infections Following Birmingham Hip Resurfacing

2016 ◽  
Vol 37 (11) ◽  
pp. 1383-1386 ◽  
Author(s):  
Ashish Bhargava ◽  
Madiha Salim ◽  
Harsha V. Banavasi ◽  
Vijay Neelam ◽  
Richmund Wenzel ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Surgical Site Infections ◽  
Hip Resurfacing ◽  
Low Risk ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Incision And Drainage ◽  
Birmingham Hip Resurfacing ◽  
Hip Arthritis ◽  
Metal On Metal

The Birmingham Hip Resurfacing procedure (BHR) is metal-on-metal resurfacing procedure for hip arthritis. BHR was associated with low risk of surgical site infection (SSI; 0.6%). In addition to antimicrobials, superficial SSIs were treated with incision and drainage, whereas deep incisional or organ-space SSIs required removal of prosthesis.Infect Control Hosp Epidemiol 2016;1–4

Impact of an Automated Surveillance to Detect Surgical-Site Infections in Patients Undergoing Total Hip and Knee Arthroplasty in Brazil

2016 ◽  
Vol 37 (8) ◽  
pp. 991-993 ◽  
Author(s):  
Luciana B. Perdiz ◽  
Deborah S. Yokoe ◽  
Guilherme H. Furtado ◽  
Eduardo A. S. Medeiros
Keyword(s):  
Retrospective Study ◽  
Surgical Site Infection ◽  
Knee Arthroplasty ◽  
Surgical Site Infections ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Total Hip ◽  
Routine Surveillance ◽  
Hip And Knee Arthroplasty ◽  
Automated Surveillance

In this retrospective study, we compared automated surveillance with conventional surveillance to detect surgical site infection after primary total hip or knee arthroplasty. Automated surveillance demonstrated better efficacy than routine surveillance in SSI diagnosis, sensitivity, and predictive negative value in hip and knee arthroplasty.Infect Control Hosp Epidemiol 2016;37:991–993

scholarly journals Variable Case Detection and Many Unreported Cases of Surgical-Site Infection Following Colon Surgery and Abdominal Hysterectomy in a Statewide Validation

2017 ◽  
Vol 38 (9) ◽  
pp. 1091-1097 ◽  
Author(s):  
Michael S. Calderwood ◽  
Susan S. Huang ◽  
Vicki Keller ◽  
Christina B. Bruce ◽  
N. Neely Kazerouni ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Chart Review ◽  
External Validation ◽  
Colon Surgery ◽  
Abdominal Hysterectomy ◽  
Site Infection ◽  
California Department ◽  
Added Benefit ◽  
Infection Preventionists ◽  
Traditional Surveillance

OBJECTIVETo assess hospital surgical-site infection (SSI) identification and reporting following colon surgery and abdominal hysterectomy via a statewide external validationMETHODSInfection preventionists (IPs) from the California Department of Public Health (CDPH) performed on-site SSI validation for surgical procedures performed in hospitals that voluntarily participated. Validation involved chart review of SSI cases previously reported by hospitals plus review of patient records flagged for review by claims codes suggestive of SSI. We assessed the sensitivity of traditional surveillance and the added benefit of claims-based surveillance. We also evaluated the positive predictive value of claims-based surveillance (ie, workload efficiency).RESULTSUpon validation review, CDPH IPs identified 239 SSIs following colon surgery at 42 hospitals and 76 SSIs following abdominal hysterectomy at 34 hospitals. For colon surgery, traditional surveillance had a sensitivity of 50% (47% for deep incisional or organ/space [DI/OS] SSI), compared to 84% (88% for DI/OS SSI) for claims-based surveillance. For abdominal hysterectomy, traditional surveillance had a sensitivity of 68% (67% for DI/OS SSI) compared to 74% (78% for DI/OS SSI) for claims-based surveillance. Claims-based surveillance was also efficient, with 1 SSI identified for every 2 patients flagged for review who had undergone abdominal hysterectomy and for every 2.6 patients flagged for review who had undergone colon surgery. Overall, CDPH identified previously unreported SSIs in 74% of validation hospitals performing colon surgery and 35% of validation hospitals performing abdominal hysterectomy.CONCLUSIONSClaims-based surveillance is a standardized approach that hospitals can use to augment traditional surveillance methods and health departments can use for external validation.Infect Control Hosp Epidemiol 2017;38:1091–1097

scholarly journals Standardized Infection Ratio for Surgical Site Infection after Colon Surgery: Discord in Models Measuring Healthcare Quality

2016 ◽  
Vol 37 (11) ◽  
pp. 1378-1382
Author(s):  
Raymond Chinn ◽  
Jason M. Lempp ◽  
Susan S. Huang ◽  
Rekha Murthy ◽  
Francesca J. Torriani ◽  
...  
Keyword(s):  
Pilot Study ◽  
Surgical Site Infection ◽  
Healthcare Quality ◽  
Colon Surgery ◽  
Hospital Quality ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Cross Sectional ◽  
Public Report ◽  
The Government

The government publishes 3 different public report surgical site infection (SSI) metrics, all called standardized infection ratios (SIRs), that impact perceived hospital quality. We conducted a non-random cross-sectional observational pilot study of 20 California hospitals that voluntarily submitted colon surgery and SSI data. Discordant SIR values, leading to contradictory conclusions, occurred in 35% of these hospitals.Infect Control Hosp Epidemiol2016;1–5

scholarly journals Surgical Site Infection Surveillance Following Ambulatory Surgery

2014 ◽  
Vol 36 (2) ◽  
pp. 225-228 ◽  
Author(s):  
Chanu Rhee ◽  
Susan S. Huang ◽  
Sandra I. Berríos-Torres ◽  
Rebecca Kaganov ◽  
Christina Bruce ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Chart Review ◽  
Ambulatory Surgery ◽  
Medical Chart ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Medical Chart Review ◽  
Infection Surveillance

We assessed 4045 ambulatory surgery patients for surgical site infection (SSI) using claims-based triggers for medical chart review. Of 98 patients flagged by codes suggestive of SSI, 35 had confirmed SSIs. SSI rates ranged from 0 to 3.2% for common procedures. Claims may be useful for SSI surveillance following ambulatory surgery.Infect Control Hosp Epidemiol 2014;00(0):1–4

Trends in Colon Surgical Site Infection (SSI) Surveillance Practices Reported by Infection Preventionists in NYS, 2007 to 2016

2017 ◽  
Vol 45 (6) ◽  
pp. S164
Author(s):  
Marie Tsivitis ◽  
Boldtsetseg Tserenpuntsag ◽  
Peggy Ann Hazamy ◽  
Martha Luzinas ◽  
Antonella Eramo ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Site Infection ◽  
Infection Preventionists

Postdischarge Surgical Site Infection Surveillance Practices in Washington Acute Care Hospitals

2012 ◽  
Vol 33 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Roxie Zarate ◽  
David Birnbaum
Keyword(s):  
Surgical Site Infection ◽  
Acute Care ◽  
Surgical Site Infections ◽  
Acute Care Hospitals ◽  
Public Reporting ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Infection Surveillance

Little is known about postdischarge surveillance practices currently in place among American hospitals. This survey describes practices used by acute care hospitals covered by Washington State's legislated mandate for public reporting of surgical site infections. While the vast majority of facilities use multiple techniques, wide variation in practices was discovered.Infect Control Hosp Epidemiol 2012;33(1):8

A Practical Tool for Surveillance of Surgical-Site Infections: A 5-Year Experience in Orthopedic Surgeries

2017 ◽  
Vol 38 (5) ◽  
pp. 610-613 ◽  
Author(s):  
Shmuel Benenson ◽  
Allon E. Moses ◽  
Matan J. Cohen ◽  
Meir Brezis ◽  
Naomi Minster ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Sensitivity And Specificity ◽  
Surveillance System ◽  
Surgical Site Infections ◽  
High Sensitivity ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Practical Tool

Continuous surveillance of surgical-site infection (SSI) is labor intensive. We developed a semiautomatic surveillance system partly assisted by surgeons. Most patients who developed postdischarge SSI were readmitted, which allowed us to limit postdischarge surveillance to this group. This procedure significantly reduced workload while maintaining high sensitivity and specificity for SSI diagnosis.Infect Control Hosp Epidemiol 2017;38:610–613

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