A Practical Tool for Surveillance of Surgical-Site Infections: A 5-Year Experience in Orthopedic Surgeries

Benenson, Shmuel; Moses, Allon E.; Cohen, Matan J.; Brezis, M.; Minster, Naomi; Schwartz, Carmela; Kandel, Leonid; Liebergall, Meir; Mattan, Yoav

doi:10.1017/ice.2016.322

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…2 However, infections occur in the operating room (OR), even with best practices. 3,4 It is difficult to directly trace an individual SSI to an infection source or variable, so prior studies have measured microbial loads in the OR and/or have used readmissions data for postsurgical infection estimates. 5 One potential contributing factor to increased risk of SSI is microbial contamination in the OR, which previous studies have suggested could exceed the recommended 10 CFU/m 3 more than 50% of the time.…”

Section: Infect Control Hosp Epidemiol 2018;39:391-397mentioning

confidence: 99%

The Influence of Traffic, Area Location, and Other Factors on Operating Room Microbial Load

Taaffe

Lee

Ferrand

et al. 2018

Infect. Control Hosp. Epidemiol.

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OBJECTIVE To determine how the movement of patients, equipment, materials, staff, and door openings within the operating room (OR) affect microbial loads at various locations within the OR. DESIGN Observation and sampling study. SETTING Academic health center, public hospital. METHODS We first analyzed 27 videotaped procedures to determine the areas in the OR with high and low numbers of people in transit. We then placed air samplers and settle plates in representative locations during 21 procedures in 4 different ORs during 2 different seasons of the year to measure microbial load in colony-forming units (CFU). The temperature and humidity, number of door openings, physical movement, and the number of people in the OR were measured for each procedure. Statistical analysis was conducted using hierarchical regression. RESULTS The microbial load was affected by the time of year that the samples were taken. Both microbial load measured by the air samplers and by settle plates in 1 area of the OR was correlated with the physical movement of people in the same area but not with the number of door openings and the number of people in the OR. CONCLUSIONS Movement in the OR is correlated with the microbial load. Establishing operational guidelines or developing OR layouts that focus on minimizing movement by incorporating desirable internal storage points and workstations can potentially reduce microbial load, thereby potentially reducing surgical site infection risk. Infect Control Hosp Epidemiol 2018;39:391-397.

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Section: Infect Control Hosp Epidemiol 2018;39:391-397mentioning

confidence: 99%

The Influence of Traffic, Area Location, and Other Factors on Operating Room Microbial Load

Taaffe

Lee

Ferrand

et al. 2018

Infect. Control Hosp. Epidemiol.

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“…Em alguns estudos analisados, (4,13,(15)(16)(17)(18)20,(22)(23)(24)28) evidenciou-se que os métodos para vigilância das ISCs foram combinados entre si; ressalta-se que esta combinação é aceitável, no entanto, os critérios diagnósticos do Centers for Disease Control and Prevention (CDC) para definição da ISC devem ser adotados. (29) Recomenda-se que a vigilância da ISC seja realizada de forma retrospectiva ou prospectiva pela equipe do Serviço de Controle de Infecção Hospitalar (SCIH); seja no prontuário do paciente ou baseada nos resultados laboratoriais ou nas pistas contidas na prescrição do antimicrobiano; no entanto, o método de vigilância adotado deve estar de acordo com a realidade institucional, uma vez que pode apresentar limitações e impactar na interpretação das taxas e indicadores, qualidade assistencial e aumento de custos.…”

Section: Discussionunclassified

Métodos para vigilância de infecção do sítio cirúrgico pós-alta: revisão integrativa

Calegari¹,

Peixoto²,

Furtado³

et al. 2023

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar.Resumo Objetivo: Identificar os métodos utilizados na vigilância de infecção do sítio cirúrgico pós-alta hospitalar. Métodos: Revisão integrativa, realizada nas bases de dados PubMed, Cinahl, Lilacs, Embase e Web of Science, com estudos publicados até julho de 2022, utilizando os descritores controlados: Infecção da Ferida Cirúrgica, Vigilância, Alta do Paciente, Controle de Infecções e Profissionais Controladores de Infecções. Foram identificados 2.054 títulos relevantes e destes 17 foram selecionados. Utilizou-se análise descritiva e síntese do conhecimento produzido em cada estudo.Resultados: Dos 17 estudos selecionados, dez foram encontrados na base de dados Pubmed, três na Cinahl e Embase e um na Lilacs. Todos foram publicados na língua inglesa e em periódicos internacionais de localidades diversas. Quanto aos métodos de vigilância utilizados para identificar a infecção do sítio cirúrgico após a alta hospitalar nove estudos usaram chamadas telefônicas, seis utilizaram revisão de prontuários, quatro usaram vigilância prospectiva e acompanhamento ambulatorial, e, outros realizaram avaliação clínica, consulta ao banco de dados do seguro de saúde, comunicação virtual, programa de vigilância ativa e tecnologia de smartphone. A maioria (64,7%) dos estudos selecionados utilizaram mais de um método de vigilância.Conclusão: Os principais métodos identificados para a vigilância da infecção do sítio cirúrgico pós-alta foram chamadas telefônicas, revisão de prontuários, vigilância prospectiva e acompanhamento ambulatorial, sendo a combinação dos métodos uma estratégia comumente utilizada.

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“…From a general point of view, the utilisation of diversified information sources (laboratory test results, pharmacy data, reoperation and readmission diagnosis codes) followed by computer data cross-referencing has been proposed for efficient detection of SSI ( Benenson et al, 2017;van Mourik et al, 2015). In particular, the exploitation of bacteriology results after surgery would be crucial but too time-consuming if used alone; the implementation of M2 with positive microbiology results is currently being tested in our establishment.…”

Section: Discussionmentioning

confidence: 99%

How to save time in surveillance without losing quality: comparison of two methods of surgical site infection surveillance in orthopaedic prosthetics in a French university hospital

Kuczewski

Munier-Marion

Amour

et al. 2020

Journal of Infection Prevention

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Surgical site infection (SSI) surveillance methods are not standardised and are often time-consuming. We compared an active method, based on orthopaedic department staff reporting suspected SSI, with a semi-automated method, based on computerised extraction of surgical revisions, after total hip and knee arthroplasty. Both methods allowed finding the same SSI cases. We found the same sensitivity but higher specificity with a straightforward time gain using the passive method. This represents an added value for the organisation of an effective SSI surveillance, based on existing hospital databases.

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A Practical Tool for Surveillance of Surgical-Site Infections: A 5-Year Experience in Orthopedic Surgeries

Cited by 6 publications

References 9 publications

The Influence of Traffic, Area Location, and Other Factors on Operating Room Microbial Load

The Influence of Traffic, Area Location, and Other Factors on Operating Room Microbial Load

Métodos para vigilância de infecção do sítio cirúrgico pós-alta: revisão integrativa

How to save time in surveillance without losing quality: comparison of two methods of surgical site infection surveillance in orthopaedic prosthetics in a French university hospital

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