Promoting quality through surveillance of surgical site infections: Five prevention success stories

Geubbels, Eveline; Bakker, Hannie G.; Houtman, Patricia; Noort-Klaassen, Marika A. van; Pelk, Marianne S.J.; Sassen, Ton M.; Wille, Jan

doi:10.1016/j.ajic.2004.07.001

Cited by 50 publications

(32 citation statements)

References 19 publications

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“…From hospitals, we know that participating in surveillance of infections alone already reduces the incidence of infectious disease. 9 All over, we see that UTI are the most common infections found in SNIV, which is in accordance to the results of a recent prevalence study in the Netherlands. 10 There are national guidelines for infection control in the Netherlands but given the variability in incidence of infectious disease, it becomes clear that every nursing home should tailor their approach, based on the national guidelines, 11 to the local situation.…”

Section: Discussionsupporting

confidence: 80%

Surveillance of infections in nursing homes in the Netherlands, how to come from information to action

Haenen

Alblas²,

Greeff³

et al. 2014

Int. j. infect. control

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The SNIV network is a national surveillance system involving nursing homes on a voluntary base. The aim of the SNIV network is to provide systematic year-round surveillance data on the incidence of infections in nursing homes for local interventions and national policymaking and for the development of infection control guidelines.The network was designed as a sentinel active surveillance network involving nurse practitioners and/or elderly care physicians who report weekly on incident infectious diseases (gastro-enteritis, influenza-like illness, probable pneumonia and the addition of urinary tract infections in 2011) in their nursing home based on clinical definitions.The average weekly incidence per 1000 residents in the years 2009 till 2012 varied by year: gastro-enteritis: 3.8, 4.6, 3.7, 2.5; influenza-like illness: 1.6, 0.4, 0.5, 1.8; probable pneumonia: 3.6, 3.7, 2.9, 3.5; urinary tract infections: 8.0, 9.6 per 1000 resident weeks in 2011 and 2012. Gastro-enteritis most frequently occurred in local outbreaks and incidence peaked in winter. Incidence of influenza-like illness only showed a seasonal pattern in 2009 due to absence of infections with A(H1N1) influenza virus in nursing home residents.Int J Infect Control 2014, v10:i4 doi: 10.3396/IJIC.v10i4.026.14 Page 2 of 7 not for citation purposes Surveillance of infections in nursing homesHaenen et al.The results from our nationwide on-going weekly surveillance into the incidence of infections in nursing homes show that systematic surveillance in nursing homes is feasible. These data provides insight into seasonal patterns and risk factors for infection needed to guide infection control efforts and form the basis for comparisons between institutions and within regions. Furthermore, these data provide a solid baseline when studying the effectiveness of intervention strategies in the nursing home setting.

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Section: Discussionsupporting

confidence: 80%

Surveillance of infections in nursing homes in the Netherlands, how to come from information to action

Haenen

Alblas²,

Greeff³

et al. 2014

Int. j. infect. control

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“…The literature reflects the decreasing rate of SSIs after the employment of surveillance. 8 The causative microbes in SSI included endogenous flora and occasionally, resistant microbes such as MRSA, which are well documented as a cause of mortality. 9 Multi-drug resistant P. aeruginosa was not isolated in this study.…”

Section: Discussionmentioning

confidence: 99%

Surgical Site Infection in General and Thoracic Surgery: Surveillance of 2 663 Cases in a Japanese Teaching Hospital

et al. 2006

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“…1,2 Ideally, infection surveillance definitions are relevant, objective, easy to employ, and reproducible with minimal variation. The Centers for Disease Control and Prevention’s (CDC’s) SSI definitions undergo revisions every few years to improve the definitions’ utility and relevance to changing practice.…”

mentioning

confidence: 99%

Surveying the Surveillance: Surgical Site Infections Excluded by the January 2013 Updated Surveillance Definitions

Dicks

Lewis

Durkin

et al. 2014

Infect. Control Hosp. Epidemiol.

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The updated 2013 Centers for Disease Control and Prevention/ National Healthcare Safety Network definitions for surgical site infections (SSIs) reduced the duration of prolonged surveillance from 1 year to 90 days and defined which procedure types require prolonged surveillance. Applying the updated 2013 SSI definitions to cases analyzed using the pre-2013 surveillance definitions excluded 10% of previously identified SSIs.

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Promoting quality through surveillance of surgical site infections: Five prevention success stories

Cited by 50 publications

References 19 publications

Surveillance of infections in nursing homes in the Netherlands, how to come from information to action

Surveillance of infections in nursing homes in the Netherlands, how to come from information to action

Surgical Site Infection in General and Thoracic Surgery: Surveillance of 2 663 Cases in a Japanese Teaching Hospital

Surveying the Surveillance: Surgical Site Infections Excluded by the January 2013 Updated Surveillance Definitions

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