Surgical Site Infection (SSI) Rates in the United States, 1992–1998: The National Nosocomial Infections Surveillance System Basic SSI Risk Index

Gaynes, Robert P.; Culver, David H.; Horan, Teresa C.; Edwards, Jonathan R.; Richards, Chesley L.; Tolson, James S.

doi:10.1086/321860

Cited by 469 publications

(332 citation statements)

References 54 publications

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“…Our overall SSI incidence in clean wounds was 3.1%, in clean-contaminated it was 5.2%, 11.2% in contaminated and 20.7% in dirty wounds. These figures were greater than comparable data from developed countries reported by NNIS (2.1%, 3.3%, 6.4% and 7.1%, respectively) [11,16]. The SSI rates in our series may reflect the fact that our hospital is a tertiary care teaching institution to which complex surgical cases are referred.…”

Section: Discussioncontrasting

confidence: 64%

“…Factors intrinsic to the patient, as well as those related to the type and circumstances of surgery, affect the incidence of infection. Work undertaken by the NNIS program, run by the CDC, has indicated that three factors: surgical risk, as measured by the ASA, duration of surgery, and level of bacterial contamination of the wound, provide a satisfactory risk-adjusted infection rate across a wide range of surgical procedures [11]. In our study, operations for which an SSI diagnosis could not be precisely made were excluded, such as operations on the oropharynx, anorectum, and eyes.…”

Section: Discussionmentioning

confidence: 99%

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Surgical site infection in a university hospital in northeast Brazil

Medeiros¹,

Aires-Neto²,

Azevedo³

et al. 2005

Braz J Infect Dis

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We examined prevention of surgical site infection (SSI) in a tertiary teaching hospital in northeast Brazil, from January 1994 to December 2003. The survey included 5,742 patients subjected to thoracic, urologic, vascular and general surgery. The criteria for diagnosing SSI were those of the Centers for Disease Control, USA, and the variables of the National Nosocomial Infection Surveillance risk index were used. Data analysis revealed that anesthetic risk scores, wound class and duration of surgery were significantly associated with SSI. A total of 296 SSIs were detected among the 5,742 patients (5.1%). The overall incidence of SSI was 8.8% in 1994; it decreased to 3.3% in 2003. In conclusion, the use of educational strategies, based on guidelines for SSI prevention reduced SSI incidence. Appropriate management of preoperative, intraoperative, and postoperative incision care, and a surveillance system based on international criteria, were useful in reducing SSI rates in our hospital.

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Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Surgical site infection in a university hospital in northeast Brazil

Medeiros¹,

Aires-Neto²,

Azevedo³

et al. 2005

Braz J Infect Dis

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“…For example, in our cohort, smoking and diabetes mellitus were both associated with SSI development on univariable analysis. However, they were not independent variables in the VHRS model [3,[13][14][15]. Including variables such as diabetes mellitus, COPD, or smoking fails to take into account disease severity.…”

Section: Discussionmentioning

confidence: 99%

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

Liang¹,

Goodenough²,

Martindale

et al. 2015

Surgical Infections

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Background: Previously, we reported that the Ventral Hernia Risk Score (VHRS) was more accurate in a Veterans Affairs (VA) population in predicting surgical site infection (SSI) after open ventral hernia repair (VHR) compared with other models such as the Ventral Hernia Working Group (VHWG) model. The VHRS was developed using single-center data and stratifies SSI risk into five groups based on concomitant hernia repair, skin flaps created, American Society of Anesthesiologists (ASA) score ‡ 3, body mass index ‡ 40 kg/m

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“…O risco de infecção de sítio cirúrgico foi determinado de acordo com o método NNIS 13 no qual o risco varia de 0 a 3, de acordo com a presença ou não dos fatores: ferida contaminada ou infectada; duração da cirurgia acima do tempo previsto daquele determinado pelo percentil 75, obtido na distribuição da duração cirúrgica para aquele procedimento (em derivação do SNC o tempo limite é de 2 horas); classificação pelo índice ASA pré-operatória III, IV ou V. As operações terão, conseqüentemente, zero ponto, quando nenhum fator de risco estiver presente até o má-ximo de três pontos, quando todos estiverem presentes 14,15 .…”

Section: Ventriculoperitoneal Shunt Infections In Children and Adolesunclassified

Infecções em dispositivos neurológicos implantáveis em crianças e adolescentes

Lima

Pereira

Silva

2007

Arq. Neuro-Psiquiatr.

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RESUMO -Objetivo: Determinar a freqüência, as causas, o sítio específico e as manifestações clínicas e laboratoriais das infecções em crianças e adolescentes após a implantação de dispositivos neurológicos (DVP) no Hospital Governador João Alves Filho (Aracaju SE). Método: Estudo prospectivo, observacional, não controlado de 50 pacientes, submetidos a DVP (58 procedimentos), no período de janeiro de 2003 a outubro de 2004. Resultados: Observaram-se taxas de infecção por procedimento de 27,6%, taxas de infecção de índice cirúrgico zero, 1 e 2 de 25,7% e 30,4%, respectivamente (NNIS-CDC). A infecção de sítio cirúrgico foi a principal complicação com 50% das infecções. Conclusão: Taxa de infecção por procedimento, paciente e índice de risco cirúrgico mostraram-se elevadas. Não houve significância estatística com relação à idade, etiologia da hidrocefalia, ao tipo de procedimento (derivação primária e reinserção), tempo de internação pré-operatória, duração da cirurgia, antibioticoprofilaxia, cateter SNC prévio e índice de risco cirúrgico.PALAVRAS-CHAVE: hidrocefalia, derivação ventrículoperitoneal, infecção em sistema de derivação ventrículo-peritoneal. Ventriculoperitoneal shunt infections in children and adolescents with hydrocephalusABSTRACT -Objective: To determine frequency, etiology, site and clinical and laboratory findings of ventriculoperitoneal shunt (VPS) infections in children and adolescents with hydrocephalus managed in Hospital Governador João Alves Filho, Aracaju SE, Brazil. Method: A non-controlled prospective observational study comprising 50 patients that underwent VPS (58 procedures) from January/2003 to October/2004. Results: Infection rate per procedure was 27.6%; surgical risk index (NNISS-CDC) 0 and 1-2 were 25.7% and 30.4% respectively; surgical site infection was the main complication with 50% of the cases. Conclusion: Infection rates per procedure, per patient, and per surgical risk index were high. No statistical differences were found related to the following: age, etiology of hydrocephalus, type of procedure, pre-operative length of stay, duration of procedure, antibiotic prophylaxis, previous central nervous system catheter, and surgical risk index.

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Surgical Site Infection (SSI) Rates in the United States, 1992–1998: The National Nosocomial Infections Surveillance System Basic SSI Risk Index

Cited by 469 publications

References 54 publications

Surgical site infection in a university hospital in northeast Brazil

Surgical site infection in a university hospital in northeast Brazil

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

Infecções em dispositivos neurológicos implantáveis em crianças e adolescentes

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