Evaluation of underreported surgical site infection evidenced by post-discharge surveillance

Oliveira, Adriana Cristina de; Carvalho, Daclé Vilma

doi:10.1590/s0104-11692007000500017

Cited by 13 publications

(8 citation statements)

References 10 publications

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“…In these cases, these institutions tend not to report what actually happens in terms of complications, or limit the findings to the immediate postoperative period. When monitoring is performed only during hospital stay, it does not provide reliable indicators and may lead to underreporting (26,(31)(32) .…”

Section: Discussionmentioning

confidence: 99%

Late postoperative complications in surgical patients: an integrative review

et al. 2020

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Objective: to identify the main complications in the late postoperative period of surgical patients. Method: an integrative review from the CINAHL, LILACS, Science direct, Web of Science, SCOPUS, Europe PMC, and MEDLINE databases. Descriptors and keywords were combined without language or time restriction. Results: ten primary studies were included. Infectious complications were the most common, especially surgical site infection, pneumonia and urinary tract infection. The presence of complications was linked to increased mortality, need for reoperations and worse survival. Few studies report on monitoring frequency, follow-up time and/or when complications started to be observed. Conclusion: infectious complications were the most prevalent postoperatively. The scarcity of guidelines that guide the monitoring of complications regarding monitoring frequency, follow-up time and classification makes it difficult to establish an overview of them and consequently propose intervention strategies.

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Section: Discussionmentioning

confidence: 99%

Late postoperative complications in surgical patients: an integrative review

et al. 2020

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“…Different studies have shown that 12%–84% of SSIs are diagnosed after hospital discharge, thereby confirming the importance of post-discharge surveillance in the detection and reporting of SSI rates. 14 …”

Section: Discussionmentioning

confidence: 99%

Benchmarking for surgical site infections among gastrointestinal surgeries and related risk factors: multicenter study in Kuwait

Hamza¹,

Salama²,

Morsi³

et al. 2018

IDR

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PurposeTo measure surgical site infection (SSI) rates among gastrointestinal surgeries and to identify the associated risk factors.Patients and methodsWe conducted a multicenter, retrospective, surveillance-based study of adults undergoing gastric, colon, and small bowel (SB) procedures from January to December 2016. Univariate and multivariate analyses were conducted to determine the predictive variables in each surgery.ResultsIn total, 71 of 2,099 patients developed SSI – 0.8%, 19.8%, and 10.8% following gastric, colon, and SB surgeries, respectively. In gastric surgery, the risk factors identified by univariate analysis were age, duration, wound class, risk index, emergency, and scope use (P<0.05). Logistic regression analysis revealed that the laparoscopic approach was the only significant predictor, with an inverse relationship of SSI rate vs open gastric surgery (P<0.05). Prolonged duration was a significant risk factor for developing SSI in colon surgery, and emergency was a significant risk for development of SSI in SB surgery. Gram-negative bacilli were the main causative pathogens, with a high percentage of multidrug-resistant organisms.ConclusionVariances in SSI rates and risk factors among gastric, colon, and SB surgery were detected. The use of an endoscope in gastric surgeries exhibited a protective effect against the development of SSI. The reduction of the SSI rate can be achieved by targeted preventive interventions for the identified risk factors.

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“…Un estudio que analizó métodos de vigilancia post-operatoria en dos hospitales de Sao Paulo (Brasil) encontró 80% de las ISQ diagnosticadas hasta el 14º día después del procedimiento 27 . En un hospital universitario italiano con tasa global de ISQ de 10,6%, el diagnóstico de estas infecciones ocurrió 11,5 días después del procedimiento 23 .…”

Section: Infecciones Asociadas a Atención De Saludunclassified

Reingreso por infección de sitio quirúrgico: una revisión integradora

Machado¹,

Turrini²,

Siqueira³

2013

Rev. chil. infectol.

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Patient readmission for surgical site infection: integrative reviewBackground: Surgical site infections (SSI) represent an inherent risk after surgical procedures associated both to the surgical procedure and to the patient clinical conditions. Aim: To analyze in an integrative review the studies related to patient readmission due to SSI. Material and Method: The review was carried out by LILACS, CINHAL, MEDLINE and COCHRANE databases and articles published from 1966 to 2010 were selected. Results: It was analyzed 13 studies classified as transversal (7), cohort (4) and longitudinal (2). Few studies analyzed only the readmissions related to the SSI. Time to define the readmission ranged from 28 to 90 days after surgery and studies related to orthopedic procedures were more frequent. The ISS readmission rates were lower than 5%. The main aetiological agents isolated from ISS were Staphylococcus aureus and coagulase-negative staphylococci. Conclusion: Monitoring readmissions due to SSI could contribute to dimension the occurrence of ISS post-discharge, once about half of the SSI post-discharge was diagnosed at the readmission moment.

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Evaluation of underreported surgical site infection evidenced by post-discharge surveillance

Abstract: The Surgical Site Infection (SSI)

Cited by 13 publications

References 10 publications

Late postoperative complications in surgical patients: an integrative review

Late postoperative complications in surgical patients: an integrative review

Benchmarking for surgical site infections among gastrointestinal surgeries and related risk factors: multicenter study in Kuwait

Reingreso por infección de sitio quirúrgico: una revisión integradora

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