Applicability of the national nosocomial infections surveillance system risk index for the prediction of surgical site infections: a review

Ercole, Flávia Falci; Starling, Carlos Ernesto Ferreira; Chianca, Tânia Couto Machado; Carneiro, Mariângela

doi:10.1590/s1413-86702007000100028

Cited by 42 publications

(23 citation statements)

References 49 publications

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“…The report of present study coincides with the findings of Ercole FF et al and was also found statistically significant. 18 Use of perioperative antibiotics did not have any impact on reduction of SSI in present study and was also found not statistically significant. This can be explained by the fact that absence of clear antibiotic policy in administration during surgery.…”

Section: Discussioncontrasting

confidence: 51%

A prospective study on risk factors for development of surgical site infections at a tertiary care hospital: a two years study

et al. 2018

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Background: Surgical site infections (SSI) are the second most common Nosocomial infections after urinary tract infections accounting to 20-25% of Nosocomial infections worldwide. Based on the depth of the infections, SSI is classified by CDC as superficial incisional, deep incisional and organ/space. The development of SSI is dependent upon multiple factors like class of wound, immune status, type of surgery, type of anesthesia; surgical techniques etc and are interplay of multiple factors. Objective of the present study was conducted in identifying the predictors, risk factors and incidence rates of SSI at a tertiary care hospital. The study also identifies the causative bacterial pathogens and their antibiotic susceptibility patternMethods: A prospective cross-sectional study was conducted for a period of two years by department of general surgery involving all patients who underwent surgery, and pre-operative, intra operative and risk factors of the cases were collected using standardized data collection form. Specimens from the infected wounds were collected and processed for isolation of pathogens. Antibiotic susceptibility of pathogens was done using standard guidelines.Results: The incidence of SSI in present study was 25.34% with 81.58% superficial SSI and 18.42% deep SSI. Laparotomy was the common procedure and 63.2% of cases were females and 41-60 years was the most common age group. Staphylococcus aureus, Klebsiella pneumoniae and Escherichia coli were the common pathogens and were sensitive to carbapenems, vancomycin and linezolid. Significant association was observed with presence of pre-morbid analysis, presence of drain, use of povidone iodine alone and development of SSI.Conclusions: In present study the incidence of SSI was significantly high in this hospital and associated with premorbid illness, duration of surgery, presence of drain and use of drain at site of surgery. Staphylococcus aureus was the common pathogen and incidence of MRSA is higher than many other reports. A continuous monitoring and surveillance of patients with a predefined protocol will help in early identification of cases with risk of development of SSI. A feedback of appropriate data to surgeons is highly recommended to reduce the SSI rate in developing countries.

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Section: Discussioncontrasting

confidence: 51%

A prospective study on risk factors for development of surgical site infections at a tertiary care hospital: a two years study

et al. 2018

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“…The CDC criteria 11 were used to diagnose SSI. The information were stored in a database and analyzed using the software SPSS for Windows, release 17.0.…”

Section: Methodsmentioning

confidence: 99%

Surgical-site infection risk in oncologic digestive surgery

Castro¹,

Carvalho²,

Peres³

et al. 2011

Braz J Infect Dis

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Surgical-site infection (SSI) is the most prevalent type of hospital infection in surgical patients and is associated with an increase in hospital stay, costs and morbidity/lethality. The knowledge of the main risk factors for this type of infection is important for the establishment of prevention measures regarding modifiable risks factors. The objective of the preset study was to assess the occurrence of SSI and study the risk factors in oncologic surgeries of the digestive system at Hospital de Câncer in Barretos, São Paulo, Brazil. Individuals undergoing oncologic surgeries of the digestive system in the period of 08/01/2007 to 08/10/2008 were prospectively followed for 30 days after surgery. Possible risk factors related to the patient and to the surgical procedure were also studied. A total of 210 surgeries were analyzed, with a global SSI incidence of 23.8%. The following variables were independently associated with SSI: time and type of surgery, radiotherapy before surgery and surgeon's years of experience. The risk factors found in this study have been described by other authors and are not amenable to intervention for SSI prevention. Further studies are recommended with the objective of investigating interventions that could reduce the risk for SSI in this type of surgery.

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“…Gram negative bacilli (Klebsiella, Pseudomonas and Escherichia coli) were the commonest organisms cultured in this study which reflects the predominance of SSI in abdominal and perineal operations. An operation duration of longer than 2 hour has been reported to be associated with SSI 18,19 . This was demonstrated in this study where operation of more than 2 hours was significantly associated with SSI (P= 0.02).…”

Section: Discussionmentioning

confidence: 99%