Impact of participation in a surgical site infection surveillance network: results from a large international cohort study
- 주제(키워드) Healthcare-associated infection , Infection control , Surgical site infection , Surveillance , Epidemiology , Surveillance networks
- 주제(기타) Public, Environmental & Occupational Health
- 주제(기타) Infectious Diseases
- 설명문(일반) [Abbas, M.; de Kraker, M. E. A.; Pittet, D.; Harbarth, S.] Univ Geneva Hosp, Infect Control Programme, CH-1211 Geneva, Switzerland; [Abbas, M.; de Kraker, M. E. A.; Pittet, D.; Harbarth, S.] Univ Geneva Hosp, Who Collaborating Ctr Patient Safety, CH-1211 Geneva, Switzerland; [Abbas, M.; de Kraker, M. E. A.; Pittet, D.; Harbarth, S.] Fac Med, CH-1211 Geneva, Switzerland; [Aghayev, E.] Univ Bern, Inst Social & Prevent Med, Swiss RDL, Bern, Switzerland; [Aghayev, E.] Schulthess Klin, Zurich, Switzerland; [Astagneau, P.] Univ Hosp, AP HP, Reference Ctr Prevent & Control Healthcare Associ, Paris, France; [Aupee, M.; Tanguy, J.] Coordinat Ctr Prevent & Control Nosocomial Infect, Rennes, France; [Behnke, M.; Gastmeier, P.] Charite Univ Med Berlin, Natl Reference Ctr Surveillance Nosocomial Infect, Inst Hyg & Environm Med, Berlin, Germany; [Bull, A.; Worth, L. J.] Victorian Healthcare Associated Infect Surveillan, Melbourne, Vic, Australia; [Choi, H. J.] Ewha Womans Univ, Div Infect Dis, Off Infect Control, Med Ctr, Seoul, South Korea; [de Greeff, S. C.; Koek, M. B. G.] Natl Inst Publ Hlth & Environm RIVM, Ctr Infect Dis Control Clb, Epidemiol & Surveillance EPI, Bilthoven, Netherlands; [Elgohari, S.; Lamagni, T.] Publ Hlth England, Natl Infect Serv, London, England; [Harrison, W.; Roberts, C.] Publ Hlth Wales, WHAIP, Cardiff, S Glam, Wales; [Limon, E.; Pujol, M.] Univ Barcelona, VINCat Coordinator Ctr, Catalan Hlth Dept, Barcelona, Spain; [Lower, H. L.] Norwegian Inst Publ Hlth, Dept Infect Dis Epidemiol, Oslo, Norway; [Lyytikainen, O.] Natl Inst Hlth & Welf THL, Dept Infect Dis, Helsinki, Finland; [Marimuthu, K.] Tan Tock Seng Hosp, Inst Infect Dis & Epidemiol, Dept Infect Dis, Singapore, Singapore; [Marimuthu, K.] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore; [Marquess, J.; Si, D.] Dept Hlth, Communicable Dis Branch, Epidemiol & Res Unit, Townsville, Qld, Australia; [McCann, R.; Tempone, S.] Dept Hlth Western Australia, Healthcare Associated Infect Unit, Communicable Dis Control Directorate, Perth, WA, Australia; [Prantner, I] Natl Ctr Epidemiol, Budapest, Hungary; [Presterl, E.] Med Univ Vienna, Dept Infect Control, Vienna, Austria; [Presterl, E.] Hosp Epidemiol, Vienna, Austria; [Pujol, M.; Segagni Lusignani, L.] Hosp Univ Bellvitge, Barcelona, Spain; [Pujol, M.] Inst Salud Carlos III, Spanish Network Res Infect Dis, Madrid, Spain; [Reilly, J.] NHS Natl Serv Scotland, Hlth Protect Scotland, Healthcare Associated Infect Antimicrobial Resist, Glasgow, Lanark, Scotland; [Reilly, J.] Glasgow Caledonian Univ, Safeguarding Hlth Infect Prevent Ship Res Grp, Glasgow, Lanark, Scotland; [Szilagyi, E.] Natl Publ Hlth & Med Officer Serv, Budapest, Hungary; [Troillet, N.] Natl Ctr Infect Prevent, Swissnoso, Bern, Switzerland; [Troillet, N.] Cent Inst Valais Hosp, Serv Infect Dis, Sion, Switzerland; [Worth, L. J.] Univ Melbourne, Dept Med, Victoria, Australia
- 등재 SCIE, SCOPUS
- OA유형 Green Accepted, Green Published
- 발행기관 W B SAUNDERS CO LTD
- 발행년도 2019
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000171921
- 본문언어 영어
- Published As https://dx.doi.org/10.1016/j.jhin.2018.12.003
- PubMed https://pubmed.ncbi.nlm.nih.gov/30529703
초록/요약
Background: Surveillance of surgical site infections (SSIs) is a core component of effective infection control practices, though its impact has not been quantified on a large scale. Aim: To determine the time-trend of SSI rates in surveillance networks. Methods: SSI surveillance networks provided procedure-specific data on numbers of SSIs and operations, stratified by hospitals' year of participation in the surveillance, to capture length of participation as an exposure. Pooled and procedure-specific random-effects Poisson regression was performed to obtain yearly rate ratios (RRs) with 95% confidence intervals (CIs), and including surveillance network as random intercept. Findings: Of 36 invited networks, 17 networks from 15 high-income countries across Asia, Australia and Europe participated in the study. Aggregated data on 17 surgical procedures (cardiovascular, digestive, gynaecological-obstetrical, neurosurgical, and orthopaedic) were collected, resulting in data concerning 5,831,737 operations and 113,166 SSIs. There was a significant decrease in overall SSI rates over surveillance time, resulting in a 35% reduction at the ninth (final) included year of surveillance (RR: 0.65; 95% CI: 0.63-0.67). There were large variations across procedure-specific trends, but strong consistent decreases were observed for colorectal surgery, herniorrhaphy, caesarean section, hip prosthesis, and knee prosthesis. Conclusion: In this large, international cohort study, pooled SSI rates were associated with a stable and sustainable decrease after joining an SSI surveillance network; a causal relationship is possible, although unproven. There was heterogeneity in procedure-specific trends. These findings support the pivotal role of surveillance in reducing infection rates and call for widespread implementation of hospital-based SSI surveillance in high-income countries. (C) 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
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