Reducing surgical site infection incidence through a network: results from the French ISO-RAISIN surveillance system

Détails

ID Serval
serval:BIB_FBA810FCEA46
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Reducing surgical site infection incidence through a network: results from the French ISO-RAISIN surveillance system
Périodique
J Hosp Infect
Auteur(s)
Astagneau P., L Heriteau F., Daniel F., Parneix P., Venier A. G., Malavaud S., Jarno P., Lejeune B., Savey A., Metzger M. H., Bernet C., Fabry J., Rabaud C., Tronel H., Thiolet J. M., Coignard B.
Contributeur(s)
Grandbastien B.
ISSN
0195-6701
Statut éditorial
Publié
Date de publication
06/2009
Volume
72
Numéro
2
Pages
127-34
Langue
anglais
Résumé
Surgical-site infections (SSIs) are a key target for nosocomial infection control programmes. We evaluated the impact of an eight-year national SSI surveillance system named ISO-RAISIN (infection du site operatoire - Reseau Alerte Investigation Surveillance des Infections). Consecutive patients undergoing surgery were enrolled during a three-month period each year and surveyed for 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 (ASA) score, operation duration, elective/emergency surgery, and type of surgery. From 1999 to 2006, 14,845 SSIs were identified in 964,128 patients (overall crude incidence: 1.54%) operated on in 838 participating hospitals. The crude overall SSI incidence decreased from 2.04% to 1.26% (P<0.001; relative reduction: -38%) and the National Nosocomial Infections Surveillance system (NNIS)-0 adjusted SSI incidence from 1.10% to 0.74% (P<0.001; relative reduction: -33%). The most significant SSI incidence reduction was observed for hernia repair and caesarean section, and to a lesser extent, cholecystectomy, hip prosthesis arthroplasty, and mastectomy. Active surveillance striving for a benchmark throughout a network is an effective strategy to reduce SSI incidence.
Mots-clé
Aged, Aged, 80 and over, Cross Infection/*epidemiology/*prevention & control, Female, France/epidemiology, Humans, Incidence, Infection Control/*methods, Male, Middle Aged, Surgical Wound Infection/*epidemiology/*prevention & control
Création de la notice
18/07/2019 12:48
Dernière modification de la notice
21/08/2019 5:33
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