A benchmark too far: findings from a national survey of surgical site infection surveillance

Tanner, Judith; Padley, Wendy; Kiernan, Martin; Leaper, David; Norrie, Peter; Baggott, Rob

doi:10.1016/j.jhin.2012.11.010

Cited by 74 publications

(56 citation statements)

References 12 publications

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“…Koek et al [29] confirmed that SSIs' identification is mu ltid imensional. Various authors including Tanner et al [30]; Calderwood et al [31] concur that focus on inpatient data exclusively fro m the original surgical admission is inadequate.…”

Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 93%

“…Despite the fact that the result of a positive culture is not necessary for SSI d iagnosis, the presence of a wound culture in postoperative patients could be an indication for finding cases. Similarly, read mission in 30 days after an ordinary surgical procedure or 90 days following a surgical procedure involving an imp lant could signal potential infection [29].…”

Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 99%

“…With hospital stays becoming progressively shorter, an increasing fraction of SSIs becomes noticeable post-discharge. Thus, post-discharge surveillance is now inevitable for determining SSI incidence [29]. Without undertaking post-discharge surveillance, the potential for significant underestimat ion of SSIs' incidence is quite high [31].…”

Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 99%

“…Without undertaking post-discharge surveillance, the potential for significant underestimat ion of SSIs' incidence is quite high [31]. Moreover, hospital comparisons could be faulty [29].…”

Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 99%

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Development of Infection Control Surveillance System for Intensive Care Unit: Data Requirements and Guidelines

Aljohani¹,

Nadeem²,

Abumelha³

et al. 2016

IJISA

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Abstract-Surveillance systems are useful in the identification of patients that contract infections during their hospitalization period. Despite still being at in fancy, electronic information control surveillance systems for Hospital Acquired Infect ions (HAIs) are imp roving and becoming more co mmonplace as the acceptance levels rise. There are crucial gaps in existing knowledge concerning the best ways for imp lementing electronic surveillance systems especially in the context of the Intensive Care Unit (ICU). To bridge this gap, the aim of this paper was to provide a comprehensive review of various electronic surveillance approaches and to highlight the requisite data components and offer guidelines. This rev iew revealed denominator, nu merator, and discrete data requirements and guidelines for the surveillance of four main ICU HAIs, including Central Line-Associated Bloodstream Infection (CLABSI), Urinary Tract Infect ion (UTI), Surgical Site Infect ions (SSIs) and Ventilator-Associated Conditions/Events (VACs/VAEs).

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Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 93%

Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 99%

Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 99%

“…Without undertaking post-discharge surveillance, the potential for significant underestimat ion of SSIs' incidence is quite high [31]. Moreover, hospital comparisons could be faulty [29].…”

Section: ) Surgical Site Infections (Ssis)mentioning

confidence: 99%

See 2 more Smart Citations

Development of Infection Control Surveillance System for Intensive Care Unit: Data Requirements and Guidelines

Aljohani¹,

Nadeem²,

Abumelha³

et al. 2016

IJISA

View full text Add to dashboard Cite

show abstract

“…across GP practices in the UK 9 and there is considerable variation in data quality in hospital-acquired infection surveillance. 10 Measurement bias (where errors in data measurement are associated with healthcare organisation performance) can also be a concern even using standardised publicly reported data. Further, where data is sparse, confidentiality requirements in the public reporting of data means that information is suppressed in public sources where it may be individually identifiable; for example, data may be disproportionately more likely to be missing for single-handed GP practices.…”

Section: Mri Scans and Cesmentioning

confidence: 99%

Ecological studies: use with caution

Saunders

Abel

2014

Br J Gen Pract

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Meta-analysis of the potential economic impact following introduction of absorbable antimicrobial sutures

Leaper

Edmiston

Holy

2017

British Journal of Surgery

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Background: Despite several randomized trials, systematic reviews and meta-analyses that have demonstrated the effectiveness of antimicrobial (triclosan-coated or -impregnated) sutures (TCS), the clinical and economic impact of using these sutures compared with conventional non-antimicrobial-coated absorbable sutures (NCS) remains poorly documented.Methods: An independent systematic review and meta-analysis of all published evidence from January 2005 to September 2016 comparing TCS with NCS was conducted. Surgical-site infection (SSI) was the primary outcome. The results of the meta-analysis were used in a decision-tree deterministic and stochastic cost model, using the National Health Service (NHS England)-based cost of inpatient admissions for infections and differential costs of TCS versus NCS.Results: Thirty-four studies were included in the final assessment from an initial 163 identified citations; 20 of 34 studies were randomized, and 17 of 34 reported blinding of physicians and assessors. Using a random-effects model, the odds ratio for SSI in the TCS compared with NCS control groups was statistically significant (odds ratio 0⋅61, 95 per cent c.i. 0⋅52 to 0⋅73; P < 0⋅001). There was significant heterogeneity (I 2 = 49 per cent). Using random-effects event estimates of SSI for TCS and NCS for each individual wound type, the mean savings per surgical procedure from using antimicrobial sutures were significant: £91⋅25 (90 per cent c.i. 49⋅62 to 142⋅76) (€105⋅09 (57⋅15 to 164⋅41); exchange rate 15 November 2016) across all wound types. Conclusion:The reviewed literature suggested that antimicrobial sutures may result in significant savings across various surgical wound types.

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A benchmark too far: findings from a national survey of surgical site infection surveillance

Cited by 74 publications

References 12 publications

Development of Infection Control Surveillance System for Intensive Care Unit: Data Requirements and Guidelines

Development of Infection Control Surveillance System for Intensive Care Unit: Data Requirements and Guidelines

Ecological studies: use with caution

Meta-analysis of the potential economic impact following introduction of absorbable antimicrobial sutures

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