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A Practical Tool for Surveillance of Surgical-Site Infections: A 5-Year Experience in Orthopedic Surgeries

Published online by Cambridge University Press:  10 March 2017

Shmuel Benenson ,
Allon E. Moses ,
Matan J. Cohen ,
Meir Brezis ,
Naomi Minster ,
Carmela Schwartz ,
Leonid Kandel ,
Meir Liebergall  and
Yoav Mattan
Shmuel Benenson*
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Allon E. Moses
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Matan J. Cohen
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Meir Brezis
Affiliation:
Center for Clinical Quality and Safety, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Naomi Minster
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Carmela Schwartz
Affiliation:
Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Leonid Kandel
Affiliation:
Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Meir Liebergall
Affiliation:
Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
Yoav Mattan
Affiliation:
Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
*
Address correspondence to Shmuel Benenson, MD, MSc, Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, PO Box 12000, Jerusalem, 91120 ([email protected]).
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Abstract

Continuous surveillance of surgical-site infection (SSI) is labor intensive. We developed a semiautomatic surveillance system partly assisted by surgeons. Most patients who developed postdischarge SSI were readmitted, which allowed us to limit postdischarge surveillance to this group. This procedure significantly reduced workload while maintaining high sensitivity and specificity for SSI diagnosis.

Infect Control Hosp Epidemiol 2017;38:610–613

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 5 , May 2017 , pp. 610 - 613
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Kirkland, KB, Briggs, JP, Trivette, SL, Wilkinson, WE, Sexton, DJ. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol 1999;20:725–730.CrossRefGoogle ScholarPubMed
2. Choi, HJ, Adiyani, L, Sung, J, et al. Five-year decreased incidence of surgical site infections following gastrectomy and prosthetic joint replacement surgery through active surveillance by the Korean Nosocomial Infection Surveillance System. J Hosp Infect 2016;93:339–346.Google Scholar
3. CDC/NHSN surveillance definitions for specific types of infections. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf. Published 2016. Accessed May 10, 2016.Google Scholar
4. Klompas, M, Yokoe, DS. Automated surveillance of health care-associated infections. Clin Infect Dis 2009;48:1268–1275.Google Scholar
5. Sands, K, Vineyard, G, Platt, R. Surgical site infections occurring after hospital discharge. J Infect Dis 1996;173:963–970.CrossRefGoogle ScholarPubMed
6. Edwards, JR, Peterson, KD, Mu, Y, et al. National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37:783–805.Google Scholar
7. Abramson, JH. WINPEPI updated: computer programs for epidemiologists, and their teaching potential. Epidemiol Perspect Innov 2011;8:1.Google Scholar
8. Benneyan, JC, Lloyd, RC, Plsek, PE. Statistical process control as a tool for research and healthcare improvement. Quality Safety Health Care 2003;12:458–464.Google Scholar
9. Ward, VP, Charlett, A, Fagan, J, Crawshaw, SC. Enhanced surgical site infection surveillance following caesarean section: experience of a multicentre collaborative post-discharge system. J Hosp Infect 2008;70:166–173.Google Scholar
10. Lower, HL, Eriksen, HM, Aavitsland, P, Skjeldestad, FE. Methodology of the Norwegian Surveillance System for Healthcare-Associated Infections: the value of a mandatory system, automated data collection, and active postdischarge surveillance. Am J Infect Control 2013;41:591–596.Google Scholar
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Table S1

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