Efficacy of surveillance in nosocomial infection control in a surgical service

Delgado-Rodrı́guez, Miguel; Gómez-Ortega, Antonio; Sillero-Arenas, Marı́a; Martı́nez-Gallego, Gabriel; Medina-Cuadros, Marcelino; Llorca, Javier

doi:10.1067/mic.2001.114625

“…Las actividades de vigilancia, prevención y control de la infección nosocomial y sus indicadores son unos parámetros de medida de calidad ampliamente consensuados y reconocidos 6,7 . Estas actividades adquieren su mayor utilidad cuando se producen cambios en la organización de la asistencia sanitaria o se introducen nuevas formas de trabajo, de forma que son la herramienta habitualmente usada para valorar los efectos producidos 13,14 .…”

Section: Discussionunclassified

“…Aparecen en el 2-5% de los pacientes intervenidos de cirugía ortopédica 2 , aumentando el gasto sanitario por la prolongación de la estancia y el uso adicional de antibióticos, que además puede suponer un riesgo adicional de desarrollo de resistencias bacterianas 3 . Tradicionalmente las tasas de infección en cirugía limpia se han considerado un excelente indicador de calidad asistencial en lo servicios quirúrgicos, por lo que desde hace tiempo se han realizado esfuerzos para reducir estas infecciones, mediante el desarrollo de guías clíni-cas 4,5 efectivos sistemas de vigilancia 6,7 y diversos regímenes de profilaxis antibiótica quirúrgica (PAQ) 8-12. Así el proyecto SENIC (Study on the Efficacy of Nosocomial Infection Control) demostró que los programas que incluyen actividades organizadas de vigilancia y control por parte de personal entrenado y con información periódica a los cirujanos pueden prevenir hasta un tercio de las IHQ 7 . Para un centro sanitario puede ser muy importante conocer sus datos propios sobre infecciones nosocomiales y sobre el cumplimiento de los procesos asociados al desarrollo de las mismas, entre ellos la PAQ.…”

Section: Introductionunclassified

Efecto de la vigilancia sobre la tasa de infección de la herida quirúrgica en prótesis de cadera y rodilla

Molina‐Cabrillana

¹

,

Cabrera

²

,

Rodríguez-Álvarez

³

et al. 2007

Revista Clínica Española

9

0

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In this piece of work, the Objectives role will be determine the link to the surgical prophylaxis protocol and it influence of modification in the rate of wound infection in the orthopaedic surgery department during a clinical placement that will be discussed as this will be highlighted during the compilation of this study. Resources and Methodology:Total hip or knee replacement operated patients at the University teaching Hospital Insular of Gran Canaria where Follows by trained employees during two periods of explanation: Period A:Twenty four Months Period B:Twelve month. Between the two periods a modification of surgical prophylaxis was carried out. ResoultsThe group of patients/clients we studied were 1088. Period A: The 3.3% of the interventions were infected, Compared with the 2% of period B, (p= 0, 14).The accurate prophylaxis went from 8, 7% to 32, 7% (p= 0,001).Although we determined the index of NNIS in 383 patients /clients, being more frequently the risk 2 in the period A (16.8%) than the period B (5.4%) (p<0.001). Renal failure frequency were higher in period A (3.4% vs. 1.6%; p=0.04), however the diabetes and Neoplasic were Nevertheless in both periods. The predominant in period B was the Chronic Obstructive Pulmonary Disease (CPOD), (14.6 vs. 11.0; p=0.05%) and the obesity (12.8 vs. 10.3; p=0.12). The media operations interventions, stay in hospital and age, were identically the same in both periods. ConclutionsBy way of conclusion the modification carried out, was not followed for all the orthopaedic surgeons; although it appear a fall in the post-surgically infections rate, which is totally committed to a, probably, an important avoid hospital cost and safer patient if the scheme is tried and implemented.

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“…Sin embargo nuestro datos indican que las complicaciones infecciosas han disminuido a medida que se han realizado más intervenciones. Pensamos que diversos factores deben haber influido, entre ellos la mejora de la PAQ y la mayor concienciación del equipo quirúrgico tras la puesta en marcha del programa de vigilancia [6][7][8][9] .…”

Section: Discussionunclassified

“…Cualquier programa de control de infecciones o de mejora de procesos será tanto más efectivo cuanta más colaboración y más trabajo coordinado exista entre los diversos profesionales implicados 4,6,7,13 . En este sentido hemos iniciado un trabajo conjunto entre el equipo de control de infecciones y los traumatólogos para seguir avanzando en la consecución de nuestros objetivos e incrementar la seguridad y calidad de la atención prestada a los pacientes.…”

Section: Discussionunclassified

Efecto de la vigilancia sobre la tasa de infección de la herida quirúrgica en prótesis de cadera y rodilla

Molina‐Cabrillana

¹

,

Cabrera

²

,

Rodríguez-Álvarez

³

et al. 2007

Revista Clínica Española

3

0

View full text Add to dashboard Cite

In this piece of work, the Objectives role will be determine the link to the surgical prophylaxis protocol and it influence of modification in the rate of wound infection in the orthopaedic surgery department during a clinical placement that will be discussed as this will be highlighted during the compilation of this study. Resources and Methodology:Total hip or knee replacement operated patients at the University teaching Hospital Insular of Gran Canaria where Follows by trained employees during two periods of explanation: Period A:Twenty four Months Period B:Twelve month. Between the two periods a modification of surgical prophylaxis was carried out. ResoultsThe group of patients/clients we studied were 1088. Period A: The 3.3% of the interventions were infected, Compared with the 2% of period B, (p= 0, 14).The accurate prophylaxis went from 8, 7% to 32, 7% (p= 0,001).Although we determined the index of NNIS in 383 patients /clients, being more frequently the risk 2 in the period A (16.8%) than the period B (5.4%) (p<0.001). Renal failure frequency were higher in period A (3.4% vs. 1.6%; p=0.04), however the diabetes and Neoplasic were Nevertheless in both periods. The predominant in period B was the Chronic Obstructive Pulmonary Disease (CPOD), (14.6 vs. 11.0; p=0.05%) and the obesity (12.8 vs. 10.3; p=0.12). The media operations interventions, stay in hospital and age, were identically the same in both periods. ConclutionsBy way of conclusion the modification carried out, was not followed for all the orthopaedic surgeons; although it appear a fall in the post-surgically infections rate, which is totally committed to a, probably, an important avoid hospital cost and safer patient if the scheme is tried and implemented.

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“…13 Surveillance for healthcare-related infections has been associated with a reduced incidence of nosocomial infections. 14,15 Added benefits include timely recognition of changes in incidence and antibiotic susceptibility of organisms responsible for infection.…”

Section: The Need For Surveillance and Limitations Of Current Methodsmentioning

confidence: 99%

Catheter‐related bloodstream infections in hematology

Worth

¹

,

Slavin

²

,

Brown

³

et al. 2007

Cancer

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THE NEED FOR SURVEILLANCE AND LIMITATIONS OF CURRENT METHODSTunneled and nontunneled central venous catheters (CVCs) are necessary to facilitate treatment of many hematologic disorders, but catheter-related bloodstream infections (CR-BSIs) are an important cause of morbidity and mortality, and may lead to interruptions in planned therapy for malignancy or increases in length of hospital stay. In immunocompromised populations with neoplastic disease, risks for infection are not uniform, 1 and increased risk for bloodstream infections in patients with hematological malignancy may be related to the underlying malignancy, chemotherapy-induced granulocytopenia, breaches in skin or mucosal integrity, or invasive procedures. 2,3Standardized surveillance measures have not been used to assess interventions with potential impact on the epidemiology of CR-BSIs. For example, widespread use of antibiotic lock therapy,

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Efficacy of surveillance in nosocomial infection control in a surgical service

Cited by 49 publications

References 28 publications

Efecto de la vigilancia sobre la tasa de infección de la herida quirúrgica en prótesis de cadera y rodilla

Efecto de la vigilancia sobre la tasa de infección de la herida quirúrgica en prótesis de cadera y rodilla

Efecto de la vigilancia sobre la tasa de infección de la herida quirúrgica en prótesis de cadera y rodilla

Catheter‐related bloodstream infections in hematology

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