Health care–associated infection surveillance system in Iran: Reporting and accuracy

Seifi, Arash; Dehghan–Nayeri, Nahid; Rostamnia, Leili; Varaei, Shokoh; Sari, Ali Akbari; Haghani, Hamid; Ghanbari, Vahid

doi:10.1016/j.ajic.2018.12.028

Cited by 18 publications

(25 citation statements)

References 22 publications

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“…In other words, under-reporting of orthopedic SSIs among six educational hospitals was about 63.32%. This finding was in line with another study in which underreporting of SSIs in ICU was 82.2% in 2019 [26]. Under-reporting of SSIs in registry system is unavoidable; however, this issue can be overcome by recognizing the existing problems in the system.…”

Section: Discussionsupporting

confidence: 90%

“…So, reported incidence rates are underestimated. According to a study done by Seifi, et al, which was conducted in a hospital in Iran, sensitivity, specificity, and positive and negative predictive values of routine surveillance were 27.5, 97.2, 69, and 85.3%, respectively [26]. Thus, we can say the performance of the routine surveillance system is poor.…”

Section: Discussionmentioning

confidence: 88%

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Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

et al. 2021

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Background Surgical Site Infections (SSIs) are among the leading causes of the postoperative complications. This study aimed at investigating the epidemiologic characteristics of orthopedic SSIs and estimating the under-reporting of registries using the capture-recapture method. Methods This study, which was a registry-based, cross-sectional one, was conducted in six educational hospitals in Tehran during a one-year period, from March, 2017 to March, 2018. The data were collected from two hospital registries (National Nosocomial Infection Surveillance System (NNIS) and Health Information Management database (HIM)). First, all orthopedic SSIs registered in these sources were used to perform capture-recapture (N = 503). Second, 202 samples were randomly selected to assess patients` characteristics. Results Totally, 76.24% of SSIs were detected post-discharge. Staphylococcus aureus (11.38%) was the most frequently detected bacterium in orthopedic SSIs. The median time between the detection of a SSI and the discharge was 17 days. The results of a study done on 503 SSIs showed that the coverage of NNIS and HIM was 59.95 and 65.17%, respectively. After capture-recapture estimation, it was found that about 221 of orthopedic SSIs were not detected by two sources among six hospitals and the real number of SSIs were estimated to be 623 ± 36.58 (95% CI, 552–695) and under-reporting percentage was 63.32%. Conclusion To recognize the trends of SSIs mortality and morbidity in national level, it is significant to have access to a registry with minimum underestimated data. Therefore, according to the weak coverage of NNIS and HIM among Iranian hospitals, a plan for promoting the national Infection Prevention and Control (IPC) programs and providing updated protocols is recommended.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 88%

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…under-reporting of orthopedic SSIs among six educational hospitals was about 63.32%. This nding was in line with another study in which under-reporting of SSIs in ICU was 82.2% in 2019 (25). Under-reporting of SSIs in registry system is unavoidable; however, this issue can be overcome by recognizing the existing problems in the system.…”

Section: Discussionsupporting

confidence: 88%

“…So, reported incidence rates are underestimated. According to a study done by Sei , et al, which was conducted in a hospital in Iran, sensitivity, speci city, and positive and negative predictive values of routine surveillance were 27.5%, 97.2%, 69%, and 85.3%, respectively (25). Thus, we can say the performance of the routine surveillance system is poor.…”

Section: Discussionmentioning

confidence: 90%

Epidemiologic Characteristics of Orthopedic Surgical Site Infections and Under-reporting Estimation of Registries Using Capture-recapture Analysis

Taherpour

Mehrabi

Seifi

et al. 2020

Preprint

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Abstract Background Surgical Site Infections (SSIs) are among the leading causes of the postoperative complications. This study aimed at investigating the epidemiologic characteristics of orthopedic SSIs and estimating the under-reporting of registries using the capture-recapture method. Methods This study, which was a registry-based, cross-sectional one, was conducted in six educational hospitals in Tehran during a one-year period, from March, 2017 to March, 2018. The data were collected from two hospital registries (National Nosocomial Infection Surveillance System (NNIS) and health information management database (HIM)). First, all orthopedic SSIs registered in these sources were used to perform capture-recapture (N = 503). Second, 202 samples were randomly selected to assess patients` characteristics. Results Totally, 76.24% of SSIs were detected post-discharge. Staphylococcus.aureus (11.38%) was the most frequently detected bacterium in orthopedic SSIs. The median time between the detection of a SSI and the discharge was 17 days. The results of a study done on 503 SSIs showed that the coverage of NNIS and HIM was 59.95% and 65.17%, respectively. After capture-recapture estimation, it was found that about 221 of orthopedic SSIs were not detected by two sources among six hospitals and the real number of SSIs were estimated to be 623 ± 36.58 (95% CI, 552–695) and under-reporting percentage was 63.32%. Conclusions To recognize the trends of SSIs mortality and morbidity in national level, it is significant to have access to a registry with minimum underestimated data. Therefore, according to the weak coverage of NNIS and HIM among Iranian hospitals, a plan for promoting the national Infection prevention and control (IPC) programs and providing updated protocols is recommended.

show abstract

“…So, reported incidence rates are underestimated. According to a study done by Sei , et al, which was conducted in a hospital in Iran, sensitivity, speci city, and positive and negative predictive values of routine surveillance were 27.5%, 97.2%, 69%, and 85.3%, respectively (26). Thus, we can say the performance of the routine surveillance system is poor.…”

Section: Discussionmentioning

confidence: 90%

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

Taherpour

Mehrabi

Seifi

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

BackgroundSurgical Site Infections (SSIs) are among the leading causes of the postoperative complications. This study aimed at investigating the epidemiologic characteristics of orthopedic SSIs and estimating the under-reporting of registries using the capture-recapture method.MethodsThis study, which was a registry-based, cross-sectional one, was conducted in six educational hospitals in Tehran during a one-year period, from March, 2017 to March, 2018. The data were collected from two hospital registries (National Nosocomial Infection Surveillance System (NNIS) and Health Information Management database (HIM)). First, all orthopedic SSIs registered in these sources were used to perform capture-recapture (N=503). Second, 202 samples were randomly selected to assess patients` characteristics. ResultsTotally, 76.24% of SSIs were detected post-discharge. Staphylococcus aureus (11.38%) was the most frequently detected bacterium in orthopedic SSIs. The median time between the detection of a SSI and the discharge was 17 days. The results of a study done on 503 SSIs showed that the coverage of NNIS and HIM was 59.95 % and 65.17%, respectively. After capture-recapture estimation, it was found that about 221 of orthopedic SSIs were not detected by two sources among six hospitals and the real number of SSIs were estimated to be 623 ± 36.58 (95% CI, 552-695) and under-reporting percentage was 63.32%.ConclusionTo recognize the trends of SSIs mortality and morbidity in national level, it is significant to have access to a registry with minimum underestimated data. Therefore, according to the weak coverage of NNIS and HIM among Iranian hospitals, a plan for promoting the national Infection Prevention and Control (IPC) programs and providing updated protocols is recommended.

show abstract

Health care–associated infection surveillance system in Iran: Reporting and accuracy

Cited by 18 publications

References 22 publications

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

Epidemiologic Characteristics of Orthopedic Surgical Site Infections and Under-reporting Estimation of Registries Using Capture-recapture Analysis

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

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