Improving surgical site infection prevention in Asia-Pacific through appropriate surveillance programs: Challenges and recommendation

Russo, Philip L.; Saguil, Esther; Chakravarthy, Murali; Ky, Lee; Ml, Ling; Morikane, Keita; Spencer, Maureen; Danker, Walter; Yu, Nyc; Edmiston, CE

doi:10.1016/j.idh.2021.03.003

Cited by 7 publications

(8 citation statements)

References 41 publications

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“…However, it is comparable to the rate in Vietnam in the last PPS from 2008 to 2010 (5.5%) [12]. The SSI rate was 15.8% for the open reduction of fracture and 0% for knee and hip prosthesis placement [12]. The patients presenting SSI in our study had all experienced emergency trauma.…”

Section: Discussionsupporting

confidence: 72%

“…This is higher than the rate in Asia, where the overall prevalence of SSI in clean and clean contaminated surgeries was estimated at 4% (95% CI 4-5%) [5]. However, it is comparable to the rate in Vietnam in the last PPS from 2008 to 2010 (5.5%) [12]. The SSI rate was 15.8% for the open reduction of fracture and 0% for knee and hip prosthesis placement [12].…”

Section: Discussionmentioning

confidence: 78%

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Impact of antibiotic stewardship and implementation of infection control on prevalence of surgical site infections in a large tertiary-care hospital in Haiphong city

Ory

Minh²,

Tien³

et al. 2022

Preprint

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Background Few point prevalence surveys (PPS) have been conducted in Vietnam on SSIs or antimicrobial use in surgery. We performed PPSs of surgical site infection (SSI) before and after antibiotic stewardship programs (ASP) and infection control (IC) in a Vietnamese tertiary-care hospital. Method ASP and IC practices were implemented in operating rooms and the orthopedic department including antibiotic training, skin preparation, hand hygiene, gloves and sterile instruments, and SSIs risk factors. A PPS of SSIs and AMS was performed in January 2016 according to Center Disease Control methods, before ASP and IC, and in December 2019. Information recorded included surgical, antibiotic prophylaxis, microorganisms and SSI risk factors. Skin preparation compliance assessed preoperative washing and antisepsis. Results SSI prevalence was 7.8% in 2016 versus 5.4% in 2019 (p = 0.7). Significant differences were found for diabetes mellitus, NNIS score, scheduled surgery and prophylactic antibiotics. A third-generation cephalosporin was prescribed more than 48 hours after surgery for most patients in both periods. Skin preparation compliance increased from 54.4–70.5% between assessments. Conclusions The decreased SSI, although non-statistically significant, warrants continuing this program. Vietnamese hospital must provide comprehensive IC education to healthcare-workers addressing standard precautions and establish IC policies.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 78%

Impact of antibiotic stewardship and implementation of infection control on prevalence of surgical site infections in a large tertiary-care hospital in Haiphong city

Ory

Minh²,

Tien³

et al. 2022

Preprint

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“…Many high‐income countries and some middle‐ to low‐income countries have a national surgical site infection (SSI) surveillance programme (Russo et al, 2021). These programmes find the global proportion of surgical site infection is 9.9%.…”

Section: Introductionmentioning

confidence: 99%

“…Many of the challenges relate to the burden of resources, such as the high cost of post‐discharge follow‐up or the amount of staff time required (Monahan et al, 2020). Other factors relating to access can be influenced by geography, economy or infrastructure (Russo et al, 2021; World Health Organization [WHO], 2018).…”

Section: Introductionmentioning

confidence: 99%

Digital tools for post‐discharge surveillance of surgical site infection

Dalcól,

Tanner,

de Brito Poveda

2023

Journal of Advanced Nursing

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AimsConduct a scoping review on the development and use of digital tools for post‐discharge surgical site infection surveillance.DesignScoping review.Data SourcesScience Direct, PubMed, Embase, Literatura Latino‐Americana e do Caribe em Ciências da Saúde and Cumulative Index to Nursing and Allied Health Literature were searched from 2013 to May 2022. Six intellectual property registries were reviewed from 2013 to 2022.Review MethodsThe review followed the Joanna Briggs Institute model, and included intellectual property records (applications, prototypes and software) and scientific articles published in any language on the development and/or testing of digital tools for post‐discharge surveillance of surgical site infection among surgical patients aged 18 and over.ResultsOne intellectual property record and 13 scientific articles were identified, covering 10 digital tools. The intellectual property record was developed and registered by a China educational institution in 2018. The majority of manuscripts were prospective cohort studies and randomized clinical trials, published between 2016 and 2022, and more than half were conducted in the United States. The population included adult patients undergoing cardiac, thoracic, vascular, abdominal, arthroplasty and caesarean surgery. The main functionalities of the digital tools were the previously prepared questionnaire, the attachment of a wound image, the integrated Web system and the evaluation of data by the health team, with post‐discharge surgical site infection surveillance time between 14 and 30 days after surgery.ConclusionDigital tools show promise for the surveillance of surgical site infection, collaborating with the early detection of wound infection.Implications for the Profession and/or Patient CareMobile technology was favourable for detecting surgical site infections, reducing unnecessary visits to the health service, and increasing patient satisfaction.ImpactTechnological advances in the health area open new perspectives for post‐discharge surveillance of surgical site infection.What is Already Known? There is underreporting of surgical site infections due to difficulties related to traditional methods of post‐discharge surveillance. The use of digital tools within surgical site infection surveillance is increasing. Benefits of using digital tools within surgical site infection surveillance have been reported. What has this Study Added to our Knowledge? This scoping review is one of the first to analyse the development and use of digital tools for post‐discharge surveillance of surgical site infection in different countries. The main functionalities of digital tools are: structured questionnaires; attachment of wound images; integrated web systems; and evaluation of data by professionals. The use of mobile technology is favourable for detecting surgical site infections with a reduction in costs from face‐to‐face consultations and increased patient satisfaction. Where and on Whom will the Research have an Impact? Healthcare providers can successfully use digital tools for surgical site infection post‐discharge surveillance. Remote monitoring can reduce unnecessary patient visits to healthcare facilities. Policy makers can study how to implement digital platforms for remote patient monitoring. Reporting MethodPRISMA statement for Scoping Reviews (PRISMA‐ScR).Patient or Public ContributionNo patient or public contribution.Trial and Protocol RegistrationThe study protocol was registered in the OSF (https://doi.org/10.17605/OSF.IO/BA8D6).

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“…Surgical site infection (SSI) is one of the most common forms of post-operative complications and hospital-acquired infections [ 1 , 2 ]. It adversely affects patients by causing delayed wound healing, increased length of hospital stay, prolonged use of antibiotics and increased mortality [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical site infections by atypical mycobacteria: prevalence and species characterization using MALDI-TOF and molecular LCD chip array

et al. 2022

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Background Surgical site infection (SSI) is a post-operative complication of high concern with adverse impact on patient prognosis and public health systems. Recently, SSI pathogens have experienced a change in microbial profile with increasing reports of non-tuberculous mycobacteria (NTM) as important pathogens. Aim of the study The study aimed to detect the prevalence of NTM among cases with SSIs and describe their species using matrix-assisted laser desorption ionization time of flight mass spectrometry (MALDI-TOF MS) and PCR-based microarray. Methods The study was conducted with 192 pus samples collected from patients with SSI. Mycobacterial investigations were done in the form of Ziehl–Neelsen (ZN) smears for acid-fast bacilli, automated mycobacterial culture to isolate mycobacteria, followed by immunochromatography test to predict NTM. NTM-positive cultures were tested by MALDI -TOF MS and PCR-based microarray to reach species-level identification. Results Mycobacterial growth was found in 11/192 samples (5.7%) and identified as 4 NTM and 7 M. tuberculosis isolates with prevalence of 2.1% and 3.64%, respectively. The NTM species were described by MALDI-TOF as M. abscessus, M. porcinum, M. bacteremicum, and M. gordonae. Microarray agreed with MALDI-TOF in identifying one isolate (M. abscessus), while two isolates were classified as belonging to broad groups and one isolate failed to be identified. Conclusions The prevalence of NTM among SSI was found to be low, yet have to be considered in the diagnosis of mycobacteria. Employing advanced technologies in diagnosis is recommended to guide for appropriate treatment.

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Improving surgical site infection prevention in Asia-Pacific through appropriate surveillance programs: Challenges and recommendation

Cited by 7 publications

References 41 publications

Impact of antibiotic stewardship and implementation of infection control on prevalence of surgical site infections in a large tertiary-care hospital in Haiphong city

Impact of antibiotic stewardship and implementation of infection control on prevalence of surgical site infections in a large tertiary-care hospital in Haiphong city

Digital tools for post‐discharge surveillance of surgical site infection

Surgical site infections by atypical mycobacteria: prevalence and species characterization using MALDI-TOF and molecular LCD chip array

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