Prevalence of Nosocomial Infections After Surgery in Greek Hospitals: Results of Two Nationwide Surveys
| Autor: | Hariton Kolibiris, George Haliotis, Efstratios Maltezos, Symeon Metalidis, Yiannis Tselentis, Maria Roumbelaki, Stamatina Levidiotou, Eleftherios Anevlavis, Achilleas Gikas, John Pediaditis, Pavlos Nikolaidis, John Kioumis, Sofia Kartali |
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| Rok vydání: | 2004 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Prophylactic antibiotic therapy Venous catheterization Epidemiology medicine.drug_class media_common.quotation_subject Antibiotics Greece/epidemiology Surgical Wound Infection/*epidemiology/prevention & control Risk Factors Hygiene Prevalence medicine Surgical Wound Infection Humans Cross Infection/*epidemiology Antibiotic use media_common Cross Infection Greece business.industry Data Collection Antibiotic Prophylaxis Length of Stay Surgery Infectious Diseases Female business Developed country Surgical patients |
| Zdroj: | Infection Control & Hospital Epidemiology. 25:319-324 |
| ISSN: | 1559-6834 0899-823X 0195-9417 |
| DOI: | 10.1086/502399 |
| Popis: | Objective:To determine the frequency and type of nosocomial infections (NIs) (especially surgical-site infections [SSIs]), risk factors, and the type and duration of antibiotic use among surgical patients in Greek hospitals.Design:Two point-prevalence studies.Setting:Fourteen Greek hospitals.Patients:Those in the hospitals during two prevalence surveys undergoing surgery during their stay.Results:In the 1999 survey, 129 of 1,037 surgical patients had developed 148 NIs (14.3%). A total of 1,093 operations were registered, and 49 SSIs (4.5%) were found. In the 2000 survey, 82 of 868 surgical patients had developed 88 NIs (10.1%). A total of 902 operations were registered, and 38 SSIs were detected (4.2%). The median length of stay (LOS) for surgical patients without SSI was 10.0 days (range, 1-19 days); for patients who developed SSI it was 30 days (range, 1-52 days; P < .001). The median LOS prior to surgery for patients without SSI was 1 day (range, 0-4 days); for patients who developed SSI it was 3 days (range, 0-7.5 days; P < .001). Among 30 possible risk factors studied, wound class, LOS prior to surgery, and central venous catheterization were independent predictors of SSI. Median durations of prophylactic antibiotic therapy were 4 days (range, 1-14 days) and 6 days (range, 1-16 days) in the 1999 and 2000 surveys, respectively.Conclusion:Surgical patients in Greek hospitals suffered higher rates of SSI than did surgical patients in other developed countries while prophylactic antibiotics were used excessively. |
| Databáze: | OpenAIRE |
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