Standardized Infection Ratios for Three General Surgery Procedures: A Comparison Between Spanish Hospitals and U.S. Centers Participating in the National Nosocomial Infections Surveillance System
| Autor: | V. Monge Jodra, N. López Fresneña, A. Robustillo Rodela, F. Martín Martínez |
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| Rok vydání: | 2003 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Epidemiology business.industry medicine.medical_treatment Surgical wound Infections surveillance Surgery Infectious Diseases Linear regression Emergency medicine medicine Infection control Cholecystectomy Risk factor business Prospective cohort study Infection surveillance |
| Zdroj: | Infection Control & Hospital Epidemiology. 24:744-748 |
| ISSN: | 1559-6834 0899-823X 0195-9417 |
| DOI: | 10.1086/502124 |
| Popis: | Objectives:To compare Spanish surgical wound infection (SWI) rates for three procedures with those published by the U.S. NNIS System, and to analyze quarterly trends.Design:This was a 4-year prospective analysis of SWI using data from a Spanish nosocomial infection surveillance network based on CDC classification criteria. SWI rates were computed as standardized infection ratios (SIRs). Trends for both SWIs and SIRs were evaluated by linear regression.Setting:Forty-three Spanish hospitals during 1997 through 2000.Patients:Those undergoing cholecystectomy (n = 7,631), appendectomy (n = 5,780), and herniorrhaphy (n = 9,864).Results:For cholecystectomy patients, the SWI rate was 4.38% and the SIR was 3.32. Both of these variables showed a slightly rising, although nonsignificant, linear trend during the study period. For appendectomy patients, the SWI rate was 7.94% and the SIR was 2.86. The linear trend was increasing for both, but only the SWI rate attained significance. For herniorrhaphy patients, the SWI rate was 1.77% and the SIR was 1.64. Both of these variables showed a significant descending tendency during the 4 years.Conclusions:Because the SIR takes into account the patient risk category, it is the best indicator of the trend shown by the SWI rate over time for a given surgical procedure. According to our comparison of SIRs with reference NNIS System values, SWI rates for cholecystectomy and appendectomy were high. Monitoring of the SIR will provide a basis for the design of infection control measures and the assessment of their effectiveness. |
| Databáze: | OpenAIRE |
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