Impact of a six-year control programme on surgical site infections in France: results of the INCISO surveillance
Details
Serval ID
serval:BIB_4DF9C6754314
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of a six-year control programme on surgical site infections in France: results of the INCISO surveillance
Journal
J Hosp Infect
Publication state
Published
Issued date
07/2007
Volume
66
Number
3
Pages
217-23
Language
english
Abstract
Surgical site infections (SSI) are a key target of nosocomial infection control policy. We evaluated the impact of a six-year surveillance system based on data from INCISO, a network of volunteer surgical wards from hospitals in Northern France. Each year surgical patients were enrolled consecutively and surveyed during their in- and out-hospital stay until 30 days following surgery. A standardised form was completed for each patient including SSI diagnosis according to standard criteria and several risk factors such as wound class, American Society of Anesthesiologists score, operation duration, elective/emergency, videoscopy and type of surgery. A dashboard was displayed at the end of each annual survey, so that participants could compare with other surgery adjusted for National Nosocomial Infections Surveillance system (NNIS) risk index and standardised incidence ratio (SIR). Over the six years, 3661 SSI were identified in 150 440 surgical patients (crude incidence: 2.4%) from 548 surgery wards. The crude SSI incidence decreased from 3.8 to 1.7% (P for trend <0.0001, relative reduction: -55%) and the NNIS-0 adjusted SSI incidence from 2.0 to 1% (P for trend <0.0001; relative reduction: -50%). An active surveillance system striving for benchmark through a network is an effective strategy to reduce SSI incidence. Sustaining control efforts have to be made to maintain low SSI level beyond the three primer years.
Keywords
Antibiotic Prophylaxis/*statistics & numerical data, Cross Infection/*epidemiology/prevention & control, Data Collection/methods, France/epidemiology, Humans, Incidence, Infection Control, Risk Factors, Sentinel Surveillance, Surgical Wound Infection/*epidemiology/prevention & control
Create date
18/07/2019 12:48
Last modification date
21/08/2019 5:33