Surveillance of surgical site infections in elective colorectal surgery. Results of the VINCat Program (2007–2010)

Autor: Feliu Bella, Joaquín López-Contreras, E Limón, Francesc Gudiol, Montserrat Sallés, Miquel Pujol
Rok vydání: 2012
Předmět:
Zdroj: Enfermedades Infecciosas y Microbiología Clínica. 30:20-25
ISSN: 0213-005X
DOI: 10.1016/s0213-005x(12)70092-7
Popis: The VINCat Program is a standardized surveillance program of healthcare infections in Catalonia, Spain. This program includes monitoring of surgical site infections (SSI) of elective colorectal surgery. The aim of this study was to define SSI rates in colorectal surgery among VINCat hospitals over a period of 4 years. We included consecutive elective colorectal interventions performed in VINCat hospitals from 2007 to 2010. Follow-up visits were performed 30 days after surgery. Prospective monitoring of SSI in colorectal surgery was performed according to standardized VINCat methodology. SSI was defined according to the Centers for Disease Control (CDC) and surgical risk factors according to the National Healthcare Safety Network (NHSN) classification. From 2007 to 2010, 49 centers performed 10,104 surgical procedures. The cumulative incidence of SSI was 20.8% (95% CI: 20.03-21.63). The annual cumulative SSI incidence rate did not vary significantly over the study period; however, there were significant differences among hospital infection rates. The relative frequency of organ-space infection increased from 25% in 2007 to 40% in 2010 (p
Databáze: OpenAIRE