Surveillance prospective des infections nosocomiales dans un service de traumatologie et orthopédie. [Prospective surveillance of nosocomial infections in a traumatology and orthopedics service]

Details

Serval ID
serval:BIB_D6D4733957AB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surveillance prospective des infections nosocomiales dans un service de traumatologie et orthopédie. [Prospective surveillance of nosocomial infections in a traumatology and orthopedics service]
Journal
Helvetica Chirurgica Acta
Author(s)
Janin B., Chevalley F., Raselli P., Livio J. J., Francioli P.
ISSN
0018-0181 (Print)
Publication state
Published
Issued date
09/1993
Volume
60
Number
1-2
Pages
211-8
Notes
English Abstract Journal Article --- Old month value: Sep
Abstract
From May 1989 to February 1990, 1164 patients were followed in the Service of Orthopaedic Surgery and Traumatology at the CHUV, for the development of nosocomial infections (N.I.), in particular postoperative wound infections. Among them, 439 patients were treated conservatively and 725 underwent 833 operations. The global incidence of N.I. was 7.7/100 admissions. Urinary tract infections represented 57% of all N.I., postoperative wound infections represented 21% (with 12% superficial and 9% deep infections), pneumonias represented 20% (5 deaths), bacteriemias represented 2% (1 death) of the cases. The rate of infections was 1.1% for clean surgical interventions (n = 549), 0% for clean-contaminated operations (n = 87), 7.5% for contaminated operations (n = 40), 22.8% for dirty operations and 1.6% for unclassified operations (n = 122). Among the 19 postoperative wound infections, 6 were diagnosed after the patients were discharged. In conclusion, postoperative wound infections constituted only 20% of all N.I. observed in the Service of Orthopaedic Surgery and Traumatology and the rates of infection according to the types of interventions were low. On the other hand, 80% of the N.I. were observed at sites other then the wounds and were associated with a 0.5% mortality rate.
Keywords
Cross Infection/*epidemiology/mortality/surgery Cross-Sectional Studies Hospital Mortality Humans Incidence Multiple Trauma/mortality/*surgery *Orthopedics *Population Surveillance Prospective Studies Surgical Wound Infection/*epidemiology/mortality/surgery Survival Rate Switzerland/epidemiology
Pubmed
Web of science
Create date
25/01/2008 17:07
Last modification date
20/08/2019 15:56
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