Active prospective surveillance study with post-discharge surveillance of surgical site infections in Cambodia
| Autor: | Margaux Isnard, Bunn Duong, Céline Guichon, Sophors Chan, Saphy So, Sébastien Couraud, José Guerra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Surveillance study Adolescent Post discharge Surgical wound infection Direct examination Infection control Follow-up studies Developing countries lcsh:Infectious and parasitic diseases Feasibility studies Young Adult Surgical site Humans Medicine Cumulative incidence lcsh:RC109-216 Prospective Studies Child Intensive care medicine Prospective cohort study Aged Aged 80 and over Modalities business.industry Incidence lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 General Medicine Middle Aged Hospitals Infectious Diseases Epidemiological Monitoring Emergency medicine Female business Cambodia |
| Zdroj: | Journal of Infection and Public Health, Vol 8, Iss 3, Pp 298-301 (2015) |
| ISSN: | 1876-0341 |
| Popis: | Summary: Barriers to the implementation of the Centers for Disease Control and Prevention (CDC) guidelines for surgical site infection (SSI) surveillance have been described in resource-limited settings. This study aimed to estimate the SSI incidence rate in a Cambodian hospital and to compare different modalities of SSI surveillance. We performed an active prospective study with post-discharge surveillance. During the hospital stay, trained surveyors collected the CDC criteria to identify SSI by direct examination of the surgical site. After discharge, a card was given to each included patient to be presented to all practitioners examining the surgical site. Among 167 patients, direct examination of the surgical site identified a cumulative incidence rate of 14 infections per 100 patients. An independent review of medical charts presented a sensitivity of 16%. The sensitivity of the purulent drainage criterion to detect SSIs was 83%. After hospital discharge, 87% of the patients provided follow-up data, and nine purulent drainages were reported by a practitioner (cumulative incidence rate: 20%). Overall, the incidence rate was dependent on the surveillance modalities. The review of medical charts to identify SSIs during hospitalization was not effective; the use of a follow-up card with phone calls for post-discharge surveillance was effective. Keywords: Surgical wound infection, Cambodia, Infection control, Developing countries, Follow-up studies, Feasibility studies |
| Databáze: | OpenAIRE |
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