Correlation of Risk and Postoperative Assessment Methods in Wound Surveillance

Topaloğlu, Serdar; Akın, Merve; Avşar, Fatih Mehmet; Ozel, Hakan; Polat, Erdal; Akın, Tezcan; Karabulut, Erdem; Hengirmen, Süleyman

doi:10.1016/j.jss.2007.05.016

Cited by 7 publications

(6 citation statements)

References 28 publications

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“…In the study conducted by Watanabe et al [29], the incidence of CAI was 15.5%, and in the survey conducted by Topaloğlu et al [30], the incidence of CAI was 14.1%. It was found that all of the surgical site infections observed in the study were kept within thirty days after surgery [29] [31].…”

Section: Discussionmentioning

confidence: 93%

Risk Factors in Surgical Site Infections

Duran,

Gülay,

Terzi

2024

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Purpose of the Research: Our study aimed to determine and understand the risk factors of surgical site infections in patients operated on in general surgery wards. Method of Research: Between May 2008 and November 2008, 422 consecutive patients who underwent emergency and elective surgeries, excluding breast, goitre and laparoscopic surgeries, were included in the study to determine surgical site infections and risk factors. The patients' risk factors were selected in the preoperative period, and postoperative 3 rd , 7 th , and 30 th days were checked by the physician responsible for conducting the study regarding surgical site infection. Results and Conclusion: Surgical site infections were defined as incisional and organ/space based on NNIS data. Gender, diabetes mellitus, malignancy, degree of contamination, ASA score ≥ 3, preoperative skin cleansing, duration of intensive care unit stay, duration of hospital stay, growth in wound culture, duration of surgery and incision length were determined as risk factors increasing CAI rates. Especially the degree of contamination, duration of intensive care unit stay, hospitalisation, duration of operation, and growth in wound culture were decisive factors in the development of CAI. As a result of our study, in the light of these data, we concluded that to prevent the development of CAI can be modified, interventions to foreseeable factors can be assessed.

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Section: Discussionmentioning

confidence: 93%

Risk Factors in Surgical Site Infections

Duran,

Gülay,

Terzi

2024

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“…Although Topaloğlu et al (14) were found that the corelation of SENIC score with postoperative wound ınfection is higher than NNIS, according to discrimination As a result both NNIS and SENIC ıs a good risk indexes but not perfect. Scarcely when NNIS and SENIC is used together to predict the SSI they forecast the development of infection better.…”

Section: Discussionmentioning

confidence: 93%

External Validation of SENIC and NNIS Scores for Predicting Wound Infection in Colorectal Surgery

Akın¹,

Akın²,

lu³

et al. 2011

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Objective: We aimed to identify the ratio of Surgical Site Infection (SSI) and also the validity of the National Nosocomial Infection Surveillance (NNIS) and Study on the Efficacy of Nosocomial Infection Control (SENIC) risk indexes in colorectal surgery, among Turkish population. Background: Some problems have been reported with the power of NNIS risk index to predict the risk of surgical site infection. We aimed to validate theNNIS and SENIC risk indexes in colorectal surgery. Methods: Between January 2003 and December 2006, surgical site ınfection surveillance was performed to 107 patients who undergo colorectal surgery with NNIS and SENIC risk scales. The mean patient age was 48 years (range, 17 to 86), and 61.7% of the group (66) was female. For this patient cohort, 6 (5.6%) were diagnosed with incisional SSI. While the mean Body Mass Index (BMI) of all patients was 26.6; mean value of BMI among the patiens with SSI was 27.8.Results: 6 insicional surgical site infection were observed during the study. According to Receiver Operating Characteric (ROC) curve analyze neither NNIS with avalue of 0.70, nor SENIC with a value of 0.67 are perfect risk indexes. Conclusion: As a result both NNIS and SENIC ıs a good risk indexes but not perfect. Scarcely when NNIS and SENIC is used together to predict the SSI they forecast the development of infection better. But there is a lot of other factors that effect the development of SSI, so for excellent surveillance risk index those factors known by everyone must be added to risk index scales.

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“…Some authors recommend at least 30 days for a close follow-up period (18,19). Others propose limited surveillance of wound status (20)(21)(22). In this study, ASEPSIS method was applied according to Wilson's original definition (7).…”

Section: Discussionmentioning

confidence: 99%

Awareness and wound assesment decrease surgical site infections

et al. 2021

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Objective: Various surveillance methods have been described for surveillance of surgical site infections (SSI). The aim of this study was to examine prac- ticality of SSI risk assessment methods (SENIC and NNIS) with a postoperative wound monitoring scale (ASEPSIS) as an outcome assessment measure and evaluation of the contribution of wound assesment to the reduction of wound infection. Material and Methods: Patients were followed with a prospective data chart through four year. Correlation of SENIC and NNIS together with ASEPSIS were performed. Results: During the study period, 275 SSI occurred. SSIs were determined within the 21 days-period after operations. Correlation between SENIC with ASEPSIS (rs= 0.41, p< 0.001) was found better than that for NNIS with ASEPSIS (rs= 0.37, p< 0.001). Type of operation (emergency vs. elective), body mass index, operation class and American Society of Anesthesiologists scores were found independently predictive factors for SSI. The forth year SSI rate was found to be significantly lower than the other years (p< 0.001). Conclusion: This study indicates weak but significant correlation between preoperative risk assessment methods for SSI and ASEPSIS method. In addi- tion, surgical wound assesment and awarness of the wound infection rates, have decreased the SSI rates over the years.

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Correlation of Risk and Postoperative Assessment Methods in Wound Surveillance

Cited by 7 publications

References 28 publications

Risk Factors in Surgical Site Infections

Risk Factors in Surgical Site Infections

External Validation of SENIC and NNIS Scores for Predicting Wound Infection in Colorectal Surgery

Awareness and wound assesment decrease surgical site infections

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