Risk Factors for and Effect of a One-Year Surveillance Program on Surgical Site Infection at a University Hospital in Turkey

2006 ◽  
Vol 7 (6) ◽  
pp. 519-526 ◽  
Author(s):  
Ekrem Kaya ◽  
Ibrahim Yetim ◽  
Adem Dervisoglu ◽  
Mustafa Sunbul ◽  
Yuksel Bek
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
University Hospital ◽  
Surveillance Program ◽  
Site Infection ◽  
One Year

scholarly journals Study of post caesarean section wound infection and microbiological epidemiology in tertiary care centre, Western Rajasthan, India

2020 ◽  
Vol 9 (5) ◽  
pp. 2042
Author(s):  
Nehal Sahay ◽  
Rekha Jhakhar
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Economic Status ◽  
Tertiary Care ◽  
Suture Technique ◽  
Surveillance Program ◽  
Coagulase Negative Staphylococcus ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
Hospital Infection Control

Background: Surgical site infection (SSI) following C-section is a common encountered problem and needs to be analysed. In this study we have determined the incidence, risk factors and common bacterial pathogens in surgical site infection (SSI) following C-section at a tertiary care centre.Methods: A hospital based prospective study conducted for a period of 6 months. Those women whose C-section was complicated by SSI within 5 days postoperatively were included in the study. Risk factors for SSI were identified and microbiological pattern was studied.Results: Out of 62 women whose C-section was complicated by SSI within 5 days post-operatively, during this study period post caesarian SSI incidence was 0.34%. In this study post C-section SSI found as high as 43.55%, in lower socio-economic status. Among all patients, un-booked were 62.90%, Referred patients were as high as 67.74%. SSI developed in 69.35% patients without preoperative antibiotic prophylaxis. C-section done in PROM in 64.50% and as an elective emergency 79.03%, blood transfusion needed in 59.68% and type of incision being transverse (Pfannenstiel) in 88.71%. Subcutaneous suture technique used in 75.81% and secondary healing occurred in 67.74%. Most common organism grown was CoNS (coagulase negative staphylococcus) 29.03% in SSI.Conclusions: To reduce SSI, the hospital infection control system and surgical site infection surveillance program has to be established. Knowing the prevalence and risk factors will help optimal precaution and standard surgical technique to reduce SSI, which causes increased hospital stay of patients.

Risk Factors for Surgical Site Infection in Children

2006 ◽  
Vol 27 (7) ◽  
pp. 709-715 ◽  
Author(s):  
Juan Francisco Casanova ◽  
Rafael Herruzo ◽  
Jesús Díez
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Pediatric Patients ◽  
Risk Index ◽  
Venous Catheter ◽  
University Hospital ◽  
Site Infection ◽  
Convenience Sample ◽  
Peripheral Venous Catheter ◽  
Duration Of Surgery

Objectives.To assess the appropriateness of using the indices developed by the Study on the Efficacy of Nosocomial Infection Control (SENIC) and the National Nosocomial Infections Surveillance (NNIS) project to determine risk factors for surgical site infection (SSI) in children and, if not appropriate, to explore the factors related to SSI in children so these factors could be used in a risk index for pediatric patients.Design.Cohort study during more than 4 years.Setting.La Paz University Hospital, a national reference center that serves Health Area 5 of Madrid, Spain, which has approximately 500,000 inhabitants.Patients.Convenience sample consisting of the 3,646 children admitted for surgery who had a postsurgical stay of more than 2 days.Results.A model with 8 predictive factors (degree of surgical contamination; duration of surgery; type of surgery; use of a peripheral venous catheter, central venous catheter, or urinary catheter; number of diagnoses; and SSI exposition time) was created. Its relation to the SSI rate was better than that of the SENIC or NNIS indices. Its sensitivity, specificity, and area under the receiver–operating characteristic curve were higher than that of the SENIC index.Conclusions.The model that we created seems to be more adequate for predicting SSI and evaluating pediatric patients' intrinsic risk than the SENIC and NNIS indices.

scholarly journals Surgical site infections at a Saudi hospital: The need for a national surveillance program

2017 ◽  
Author(s):  
Saeed Ali Alsareii
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Surgical Site Infection ◽  
Tertiary Care ◽  
Significant Risk ◽  
Surveillance Program ◽  
Care Hospital ◽  
National Surveillance ◽  
Site Infection ◽  
Acinetobacter Spp

ABSTRACT Background: Surgical site infection (SSI) continues to be a global health problem that causes increased morbidity and mortality, especially in developing countries. Objective: This study aimed to determine the prevalence of SSI, the microbial pathogens and their resistance patterns, as well as to identify risk factors associated with this infection at a Saudi tertiary care hospital. Methods: This cross-sectional observational study involved all patients who had surgery and who stayed in the hospital for at least 48 h during a one-year period. SSI was diagnosed using the guidelines of the Centers for Disease Control and Prevention. Results: A total of 2160 patients were included and the overall SSI rate was 10.2%. Malignancy (OR = 1.63), duration of operation (OR = 1.41), high ASA score (OR = 1.8), and clean-contaminated (OR = 1.5) and contaminated operations (OR = 3.2) were found to be statistically significant risk factors for SSI. The most frequently isolated microorganisms were Acinetobacter spp. (31.5%), E. coli (25.5%) and Pseudomonas spp. (17.9%). Conclusions: This study further illustrates the burden of SSI in a typical hospital situation in developing countries. Our findings highlight the urgent need to develop a consistent national surveillance program for SSI with accurate feedback of appropriate data to help surgeons control and reduce the SSI rates in developing countries. Keywords: Surgical site infection - surveillance - contaminated wounds - Acinetobacter spp.

scholarly journals Surgical Site Infection Incidence Following Hip Surgery: A Cross-Sectional Study

2021 ◽  
pp. 66-74
Author(s):  
Niaz Hussain Keerio ◽  
Ghazanfar Ali Shah ◽  
Tanveer Afzal ◽  
Aftab Alam Khanzada ◽  
Muhammad Rafique Joyo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hip Fracture ◽  
Surgical Site Infection ◽  
Cross Sectional Study ◽  
Site Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Surgical Site Infection Incidence ◽  
One Year

Objective: To determine the incidence of surgical site infection among patients with hip fracture and undergo a surgical procedure for management. And to spotlight on the risk factors which may lead to surgical site infection among them. Also, to look for other complications following the surgery. Methods: This is a descriptive, correlational cross-sectional study design. The study was conducted at Orthopedic Department, Mohammad Medical College and Hospital Mirpurkhas, Pakistan for one-year duration from March 2019 to March 2020. All patients had hip fracture and received management at the department of orthopedic. All patients were adults and older than 20 years of age. Data was analyzed using SPSS program. Results: The study included 103 patients who had hip fractures. The most frequent age group was 40-50 years. Patients had a mix of modifiable and non-modifiable risk factors for developing surgical site infection. The incidence rate of surgical site infection in this study was 3.2%. It was correlated to having hypertension and diabetes as complications. Conclusion: This study aimed to spotlight on the SSI following hip surgeries and to look for complications and risk factors. We noticed that the SSI rate among the study populations is almost similar as the worldwide range. This is due to the agreed protocol for managing patients. However, there is a need for log-term follow up for our patient to discover the cases of delayed SSI.

EFFICACY OF ANTIBIOTICS PROPHYLAXIS IN PATIENTS WITH LUMBAR DISC HERNIATION UNDERGOING LUMBAR DISCETOMY

2018 ◽  
Vol 8 (5) ◽  
pp. 14-19
Author(s):  
Tri Truong Van ◽  
Tri Tran Duc Duy ◽  
Khai Vo Le Quang
Keyword(s):  
Surgical Site Infection ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
University Hospital ◽  
Site Infection ◽  
Surgical Wound ◽  
A Prospective Study ◽  
Length Of Hospitalization

Introduction: Surgical wound infection in developing coutries is about 3%. Antibiotics prophylaxis may help to reduce the surgical site infection. The objective of this study was to evaluate the efficacy of antibiotics prophylaxis in patients with lumbar disc herniation who were treated with lumbar discectomy at Hue University hospital. Materials and Methods: A prospective study was conducted at Hue University hospital from March 2015 to May 2018 on 54 patients with lumbar disc herniation who were used antibiotics prophylaxis when undergoing discectomy. Results: The infection rate in our study was 0%. Antibiotics prophylaxis reduced the length of hospitalization as well as the medical cost. Conclusion: Antibiotics prophylaxis was effective in preventing surgical site infection despite the fact that the condition of operating rooms did not meet the standard rules. Key words: prophylaxis antibiotics, lumbar disc herniation

HOSPITAL INFECTION IN SURGICAL DEPARTMENTS AT HUE UNIVERSITY HOSPITAL IN 2015

2016 ◽  
pp. 39-43
Author(s):  
Dinh Binh Tran ◽  
Dinh Tan Tran
Keyword(s):  
Surgical Site Infection ◽  
Surgical Intervention ◽  
University Hospital ◽  
Hospital Infections ◽  
Site Infection ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
Hospital Acquired Infections ◽  
Tract Infections ◽  
Hospital Acquired

Objective: To study nosocomial infections and identify the main agents causing hospital infections at Hue University Hospital. Subjects and Methods: A cross-sectional descriptive study of 385 patients with surgical interventions. Results: The prevalence of hospital infections was 5.2%, surgical site infection was the most common (60%), followed by skin and soft tissue infections (35%), urinary tract infections (5%). Surgical site infection (11.6%) in dirty surgery. There were 3 bacterial pathogens isolated, including Staphylococcus aureus (50%), Pseudomonas aeruginosa and Enterococcusspp (25%). Conclusion: Surgical site infection was high in hospital-acquired infections. Key words: hospital infections, surgical intervention, surgical site infection, bacteria

Study on surgical site infection following laryngectomy and its risk factors

2011 ◽  
Vol 31 (5) ◽  
pp. 521-523
Author(s):  
Qian XIE ◽  
Bin CAO ◽  
Yong-xiang WEI ◽  
Ning-yu WANG ◽  
Jin-feng LIU ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Site Infection

scholarly journals Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact

2019 ◽  
Vol 6 (1) ◽  
pp. e000233
Author(s):  
Jorge Espinel-Rupérez ◽  
Maria Dolores Martín-Ríos ◽  
Veronica Salazar ◽  
Maria Rosario Baquero-Artigao ◽  
Gustavo Ortiz-Díez
Keyword(s):  
Risk Factors ◽  
Soft Tissue ◽  
Surgical Site Infection ◽  
Economic Impact ◽  
Teaching Hospital ◽  
Primary Outcome Measure ◽  
Site Infection ◽  
Urinary Catheterisation ◽  
Organ Space Infection ◽  
Soft Tissue Surgery

ObjectivesTo determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI.DesignProspective cohort study.SettingVeterinary teaching hospital.Participants184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014).Primary outcome measureSurgical site infection.ResultsOut of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent.ConclusionsThe incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.

scholarly journals Cerebrospinal Fluid Shunt-Associated Surgical Site Infection With Three- Versus Twelve-Month Follow-Up in Canadian Hospitals

2020 ◽  
Vol 41 (S1) ◽  
pp. s157-s157
Author(s):  
Kelly Baekyung Choi ◽  
John Conly ◽  
Blanda Chow ◽  
Joanne Embree ◽  
Bonita Lee ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Age Distribution ◽  
Patient Characteristics ◽  
Csf Shunt ◽  
Surveillance Program ◽  
Site Infection ◽  
Infection Surveillance ◽  
Surgical Manipulation ◽  
National Systems

Background: Surgical site infection (SSI) after cerebrospinal fluids (CSF) shunt surgery is thought to be acquired intraoperatively. Biomaterial-associated infection can present up to 1 year after surgery, but many national systems have shortened follow-up to 90 days. We compared 3- versus 12-month follow-up periods to determine the nature of case ascertainment in the 2 periods. Methods: Participants of any age with placement of an internal CSF shunt or revision surgical manipulation of an existing internal shunt identified in the Canadian Nosocomial Infection Surveillance Program (CNISP) participating hospitals between 2006 and 2018 were eligible. We excluded patients with external shunting devices or culture-positive CSF at the time of surgery. Patients were followed for 12 months after surgery for the primary outcome of a CSF infection with a positive CSF culture by review of laboratory and health records. Patients were categorized as adult (aged ≥18 years) or pediatric (aged < 18 years). The infection rate was expressed as the number of CSF shunt-associated infections divided by the number of shunt surgeries per 100 procedures. Results: In total, 325 patients (53% female) met inclusion criteria in 14 hospitals from 7 provinces were identified. Overall, 46.1% of surgeries were shunt revisions and 90.3% of shunts were ventriculoperitoneal. For pediatric patients, the median age was 0.7 years (IQR, 0.2–7.0). For adult patients, the median age was 47.9 years (IQR, 29.6–64.6). The SSI rates per 100 procedures were 3.69 for adults and 3.65 for pediatrics. The overall SSI rates per 100 procedures at 3 and 12 months were 2.74 (n = 265) and 3.48 (n = 323), respectively. By 3 months (90 days), 82% of infection cases were identified (Fig. 1). The median time from procedure to SSI detection was 30 days (IQR, 10–65). No difference was found in the microbiology of the shunt infections at 3- and 12-month follow-ups. The most common pathogens were coagulase-negative Staphylococcus (43.6 %), followed by S. aureus (24.8 %) and Propionibacterium spp (6.5 %). No differences in age distribution, gender, surgery type (new or revision), shunt type, or infecting organisms were observed when 3- and 12-month periods were compared. Conclusions: CSF-SSI surveillance for 3 versus 12 months would capture 82.0% (95% CI, 77.5–86.0) of cases, with no significant differences in the patient characteristics, surgery types, or pathogens. A 3-month follow-up can reduce resources and allow for more timely reporting of infection rates.Funding: NoneDisclosures: None

Sign in / Sign up

Export Citation Format

Share Document