Standardized incidence rates of surgical site infection: A multicenter study in Thailand

Kasatpibal, Nongyao; Jamulitrat, Silom; Chongsuvivatwong, Virasakdi

doi:10.1016/j.ajic.2004.11.012

Cited by 62 publications

(53 citation statements)

References 31 publications

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“…16 Study conducted by Kasatpibal et al, in Thailand reported that the most common pathogens isolated from SSIs is E. coli (15.3%) which is similar to our finding, followed by S. aureus (8.5%), P. aeruginosa (6.8%), Klebsiella pneumonia (6.8%) and Acinetobacter baumannii (3.4%). 13 In another study conducted by Shafqat et al, have shown E. coli (29%), as the major pathogen associated with SSI followed by Pseudomonas (23%), Klebsiella (19%), Proteus(5%), Citrobacter (2.5%) and Staphylococcus aureus (14.5%). 17 Various studies have also reported the higher percentages of gram positive organism particularly Staphylococcus aureus, associated with surgical site infection.…”

Section: Discussionmentioning

confidence: 99%

“…Various studies have revealed causative agents prevalence as 27-40% Staphylococcus aureus, 7-10% to Pseudomonas aeruginosa, 6-11% coagulasenegative Staphylococi (CNS), and 3-15% E. coli from European Union, while in Turkey S. aureus 50%, E. coli 8%, S. pyogenes and P. aeruginosa 7% and CNS 6%. [11][12][13] In complex situation multiple species of microorganisms may involve and accounts poly therapies for cure and treatment. The aim of our study is to find out the common pathogen involved in surgical site infection along with their antimicrobial sensitivity and resistivity pattern.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Site Infection; Frequency of Clinical Isolates Involved. Sensitivity and Resistivity Pattern Estimate

Tariq

Ali

Zafar

et al. 2017

TPMJ

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Site Infection; Frequency of Clinical Isolates Involved. Sensitivity and Resistivity Pattern Estimate

Tariq

Ali

Zafar

et al. 2017

TPMJ

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“…2 In Thailand, although arthroscopy has been increasingly performed during the past decade, it has not been incorporated into the surveillance systems of most Thai hospitals, 3 and postdischarge surveillance is often suboptimal. 4 The lack of a national benchmark also makes it difficult to compare rates of surgical site infection (SSI) after arthroscopy between hospitals. We report on the difficulty of using Centers for Disease Control and Prevention (CDC) definitions 5 to diagnose SSI after arthroscopy and highlight some implications for surveillance in developing countries.…”

Section: Difficulty In Diagnosing Surgical Site Infection After Arthrmentioning

confidence: 99%

Difficulty in Diagnosing Surgical Site Infection After Arthroscopy in Developing Countries

Apisarnthanarak

Wittayachanyapong

Sitaposa

et al. 2009

Infect. Control Hosp. Epidemiol.

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“…This result was consistent with previous study which also reported that serum PCT level was a better predictor of SSI. 13 Another study reported that serum PCT level could be used as an infection marker in a febris patient who underwent orthopedic surgery. Moreover, serum PCT level was proclaimed as a significant predictor for postoperative infection.…”

mentioning

confidence: 99%

“…12 A multi center study conducted in Thailand reported that the three most common pathogens isolated were E. coli , S. aureus, and P. aeruginosa, with 15.3%, 8.5%, and 6.8% cases of infection, respectively. 13 The variables associated with the risk of SSI were duration of antibiotic prophylaxis, age, elevated American Association of Anaesthetists (ASA) score, prolonged preoperative hospital stay, duration of operation, emergency surgery, and sex. [14][15][16] Bivariate analysis between leucocyte count and SSI showed that leucocyte count had no significant relationship with SSI.…”

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confidence: 99%

Sensitivity and specificity of serum procalcitonin level compared to leucocyte count for diagnosis of surgical site infection on patients undergoing major surgery

2013

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Surgical site infection (SSI) is one of the most serious complications on sugical procedure. However, its diagnosis is still based on the clinical and laboratory examination that take more time and less sensitive and specific. Therefore, early diagnosis that is more accurate and precise is needed. Some biomarker such as serum procalcitonin (PCT) is promoted for diagnosis SSI. The aim of the study was to evaluate the sensitivity and specificity of serum PCT compared with leucocyte for diagnosis of SSI on patients undergoing major surgery. This was a descriptive analytical study with a prospective observational design. Patients who underwent a major surgery between October 30 th and December 31 st , 2011 and fulfilled the inclusion and exclusion criteria were recruited. Clinical and laboratory examinations including leucocyte count were conducted presurgery. On 3 rd day postsurgery, blood sample was taken for PCT and leucocyte count measurement. A blood bacterial culture was performed on patients suffering from SSI according to Centers for Disease Control (CDC) criteria. Patients were then followed until 30 days postsurgery. A total of 49 patients consisting of 22 men and 27 women were involved in this study. Surgical site infection was found in 16 patients consisting of 8 (50%) patients with clean surgical wound, 3 (19%) patients with clean surgical contamination wound, 4 (25%) patients with surgical contamination wound and 1 (6%) patient with dirty surgical wound. Furthermore, laboratory examination found that 9 patients had abnormal leucocyte with 6 of them suffering from SSI, whereas from 15 patients with serum PCT abnormal, and 11 patients suffered from SSI. Diagnostic test showed that the sensitivity and specificity of serum PCT for diagnosis of SSI were 68.75 and 90.90%, respectively, whereas the sensitivity and specificity of leucocyte were 31.25 and 87.87%, respectively. In conclusion, serum PCT has better sensitivity and specificity compared with leucocyte for the diagnosis of SSI in patients with major surgery. ABSTRAKInfeksi luka operasi (ILO) merupakan salah satu komplikasi paling serius pada pembedahan. Namun demikian, diagnosis ILO masih bedasarkan pemeriksaan klinik dan laboratorium yang butuh waktu lama dan kurang sensitif maupun spesifik. Oleh karena itu, diagnosis dini yang lebih akurat dan tepat diperlukan. Beberapa biomarker seperti kadar prokalsitonin (PCT) dipromosikan untuk diagnosis SSI. Penelitian ini bertujuan untuk mengkaji sensitivitas dan spesifisitas PCT serum dibandingkan leukosit untuk diagnosis ILO pada pasien yang menjalani bedah mayor. Penelitian ini merupakan penelitian deskriptif analitik dengan rancangan observasional prospektif. Pasien yang menjalani bedah mayor antara 30 Oktober dan 31 Desember 2011 dan memenuhi kriteria inklusi dan eksklusi dilibatkan dalam penelitian. Hari ke 3 setelah 19%) pasien dengan luka operasi bersih kontaminasi, 4 (25%) pasien dengan luka operasi kontaminasi dan 1 (6%) pasien dengan luka operasi kotor. Pada pemeriksaan laboratorium dite...

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Standardized incidence rates of surgical site infection: A multicenter study in Thailand

Cited by 62 publications

References 31 publications

Surgical Site Infection; Frequency of Clinical Isolates Involved. Sensitivity and Resistivity Pattern Estimate

Surgical Site Infection; Frequency of Clinical Isolates Involved. Sensitivity and Resistivity Pattern Estimate

Difficulty in Diagnosing Surgical Site Infection After Arthroscopy in Developing Countries

Sensitivity and specificity of serum procalcitonin level compared to leucocyte count for diagnosis of surgical site infection on patients undergoing major surgery

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