Surgical site infections in Eastern Mediterranean region: a systematic review and meta-analysis

Maleknejad, Abdulbaset; Dastyar, Neda; Badakhsh, Mahin; Balouchi, Abbas; Rafiemanesh, Hosein; AL-Rawajfah, Omar M.; Keikhaie, Khadije Rezaie; Sheyback, Mahmood

doi:10.1080/23744235.2019.1642513

Cited by 12 publications

(10 citation statements)

References 52 publications

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“…The median length of hospitalization due to surgery before infection occurrence was 11 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) days. After operation, SSIs led to longer hospitalization with median of 17 days.…”

Section: Resultsmentioning

confidence: 99%

“…Considering the reports of different countries, WHO estimated that the prevalence of HAI varies between 5.7 and 19.1% in low-and middle-income countries [8]. In Eastern Mediterranean regions, the overall prevalence of SSI was reported to be about 7.9% in 2019 [9]. The overall prevalence of HAI in Iran, as a middle-upper-income country, was about 4.5% in 2017, where bloodstream infections, surgical site infections, and pneumonia were the most common types of HAIs in Iran, respectively [4].…”

Section: Introductionmentioning

confidence: 99%

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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show abstract

“…In The median length of hospitalization due to surgery before infection occurrence was 11 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) days. After operation, SSIs led to longer hospitalization with median of 17 days.…”

Section: Resultsmentioning

confidence: 99%

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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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

Section: Resultsmentioning

confidence: 99%

“…Considering the reports of different countries, WHO estimated that the prevalence of NI varies between 5.7% and 19.1% in low-and middle-income countries (7). In Eastern Mediterranean regions, the overall prevalence of SSI was reported to be about 7.9% in 2019 (8). The prevalence of NI in Iran, as a middle-upper-income country, was about 4.5% in 2017, where bloodstream infections, surgical site infections, and pneumonia were the most common Healthcare Associated Infection (HAI), respectively (4).…”

Section: Introductionmentioning

confidence: 99%

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

Taherpour

Mehrabi

Seifi

et al. 2020

Preprint

View full text Add to dashboard Cite

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

Surgical site infections in Eastern Mediterranean region: a systematic review and meta-analysis

Cited by 12 publications

References 52 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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