International Nosocomial Infection Control Consortium (INICC) report of health care-associated infections, data summary of 25 countries for 2014 to 2023, Surgical Site Infections Module.

Autor: Rosenthal VD; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; INICC Foundation, International Nosocomial Infection Control Consortium, Miami, USA, Miami, FL, USA. Electronic address: vdr21@miami.edu., Yin R; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA., Jin Z; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA., Alkhawaja SA; Department of Infection Control, Salmaniya Medical Complex, Manama, Bahrain., Zuñiga-Chavarria MA; Department of Infection Control, Hospital Clinica Biblica, San Jose, Costa Rica., Salgado E; Department of Infection Control, Marie Curie Hospital, Quito, Ecuador., El-Kholy A; Department of Infection Control, Cairo University Dar Alfouad Hospital, 6th of October City, Egypt., Zuniga Moya JC; Department of Infection Control, Hospital Noroccidental Mario Catarino Rivas, San Pedro Sula, Honduras., Patil P; Department of Infection Control, Breach Candy Hospital Trust, Mumbai, India., Nadimpalli G; Department of Infection Control, Rao Nursing Home, Pune, India., Pattabhiramarao RN; Department of Infection Control, Rao Nursing Home, Pune, India., Zala D; Department of Infection Control, School of Applied Science and Technology, Gujrat Technological University, Ahmedabad, India., Villegas-Mota I; Department of Infection Control, Hospital Juarez de Mexico, Mexico City, Mexico., Ider BE; Department of Infection Control, Intermed Hospital, Ulaanbaatar, Mongolia., Tumu N; Department of Infection Control, Port Moresby General Hospital, Port Moresby, Papua New Guinea., Duszynska W; Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, Poland., Nguyet LTT; Department of Infection Control, Thanh Nhan Hospital, Hanoi, Vietnam., Nair PK; Department of Infection Control, Holy Spirit Hospital, Mumbai, India., Memish ZA; Department of Infection Control, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2024 Oct; Vol. 52 (10), pp. 1144-1151. Date of Electronic Publication: 2024 Apr 09.
DOI: 10.1016/j.ajic.2024.04.007
Abstrakt: Background: Surgical site infection (SSI) rates are higher in low-resource countries (LRC) than in high-income counterparts.
Methods: Prospective cohort study using the INICC Surveillance Online System, from 116 hospitals in 75 cities across 25 Latin-American, Asian, Eastern-European, and Middle-Eastern countries: Argentina, Bahrain, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Egypt, Honduras, India, Kosovo, Kuwait, Lebanon, Mexico, Mongolia, Pakistan, Papua New Guinea, Philippines, Poland, Romania, Saudi Arabia, Thailand, Turkey, Venezuela, Vietnam. CDC/NHSN definitions were applied. Surgical procedures (SPs) were categorized according to the International Classification of Diseases criteria.
Results: From 2014 to 2023, we collected data on 1,251 SSIs associated with 56,617 SPs. SSI rates were significantly higher in SPs of INICC compared to CDC/NHSN data: hip prosthesis (3.68% vs 0.67%, relative risk [RR]=5.46, 95% confidence interval [CI]=3.71-8.03, P<.001), knee prosthesis (2.02% vs 0.58%, RR=3.49, 95% CI=1.87-6.49, P<.001), coronary artery bypass (4.16% vs 1.37%, RR=3.03, 95% CI=2.35-3.91, P<.001), peripheral vascular bypass (15.69% vs 2.93%, RR=5.35, 95% CI=2.30-12.48, P<.001), abdominal aortic aneurysm repair (8.51% vs 2.12%, RR=4.02, 95% CI=2.11-7.65, P<.001), spinal fusion (6.47% vs 0.70%, RR=9.27, 95% CI=6.21-13.84, P<.001), laminectomy (2.68% vs 0.72%, RR=3.75, 95% CI=2.36-5.95, P<.001), among others.
Conclusions: Elevated SSI rates in LRCs emphasize the need for effective interventions.
(Copyright © 2024 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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