Surgical Site Infection (SSI) Rates in the United States, 1992–1998: The National Nosocomial Infections Surveillance System Basic SSI Risk Index
| Autor: | Chesley L. Richards, James S. Tolson, Robert P. Gaynes, Jonathan R. Edwards, Teresa C. Horan, David H. Culver |
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| Rok vydání: | 2001 |
| Předmět: |
Microbiology (medical)
Risk analysis Cross Infection medicine.medical_specialty Time Factors business.industry Data Collection medicine.medical_treatment Incidence (epidemiology) Surgical wound Infections surveillance United States Surgery Infectious Diseases Risk Factors Colon surgery Population Surveillance Emergency medicine Epidemiology medicine Humans Surgical Wound Infection Cholecystectomy Risk factor business |
| Zdroj: | Clinical Infectious Diseases. 33:S69-S77 |
| ISSN: | 1537-6591 1058-4838 |
| Popis: | By use of the National Nosocomial Infections Surveillance (NNIS) System's surgical patient surveillance component protocol, the NNIS basic risk index was examined to predict the risk of a surgical site infection (SSI). The NNIS basic SSI risk index is composed of the following criteria: American Society of Anesthesiologists score of 3, 4, or 5; wound class; and duration of surgery. The effect when a laparoscope was used was also determined. Overall, for 34 of the 44 NNIS procedure categories, SSI rates increased significantly (P< .05) with the number of risk factors present. With regard to cholecystectomy and colon surgery, the SSI rate was significantly lower when the procedure was done laparoscopically within each risk index category. With regard to appendectomy and gastric surgery, use of a laparoscope affected SSI rates only when no other risk factors were present. The NNIS basic SSI index is useful for risk adjustment for a wide variety of procedures. For 4 operations, the use of a laparoscope lowered SSI risk, requiring modification of the NNIS basic SSI risk index. |
| Databáze: | OpenAIRE |
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