Incidence of Surgical Site Infections in General Surgery in Italy

Fiorio, Maurizio; Marvaso, A; Viganò, F.; Marchetti, Federico

doi:10.1007/s15010-006-6632-0

Cited by 41 publications

(32 citation statements)

References 9 publications

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“…However, because the SSI rate depends on the operative procedure, differences in the SSI rate between various populations could also be a result of the different distribution of the surgical procedures. The proportion of deep SSI detected during the NNIS National Nosocomial Infection Surveillance; CI confidence interval; a percentage refers to total number of SSI for the specific type of intervention; b includes ten interventions performed laparoscopically, for which the NNIS index score was modified by subtracting 1 point; c includes otorhinolaryngoiatric surgery (n = 9), odontoiatric procedures (n = 7), neurosurgery (n = 5), maxillo-facial (n = 3), ophthalmic (n = 1), and thyroid (n = 3) surgery; d includes nephrological (n = 5), andrological (n = 4) surgery, and other gynecological procedures except cesarean sections (n = 12) postdischarge period in our study is higher than that generally reported for the general population [7,25], which further underlines the importance of postdischarge surveillance for the HIV-infected patients. Another interesting finding in our HIV-infected population is the relatively high proportion of sepsis, i.e., three of 29 (10.3%) patients with SSI.…”

Section: Discussioncontrasting

confidence: 57%

“…In our prospective observational study, we collected data on different surgical procedures and found an overall SSI rate of 9.5%, which is nearly twofold higher than that reported in other Italian [7,[22][23][24] and European studies [22,25] for the general population. However, because the SSI rate depends on the operative procedure, differences in the SSI rate between various populations could also be a result of the different distribution of the surgical procedures.…”

Section: Discussionmentioning

confidence: 70%

“…In addition, only few Italian studies have been conducted on SSI in HIV-infected patients [7]. Given this background, we conducted a prospective observational multicenter study on SSI in HIV-infected patients who were followed-up in Infectious Diseases Hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Surgical site infections in HIV-infected patients: Results from an Italian prospective multicenter observational study

et al. 2009

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Although 92.5% of our HIV-infected patients presented a NNIS score < or = 1, the SSI rate was twofold higher than that reported in Italian and European studies for the general population, with more severe clinical presentations. This is the first report of an association between HCV-HIV co-infection and SSI occurrence. Additionally, the viro-immunological status of our patients was not related to SSI occurrence, which suggests the need for further research for other potential risk factors that may be implicated in the occurrence of SSI.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 70%

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Surgical site infections in HIV-infected patients: Results from an Italian prospective multicenter observational study

et al. 2009

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“…These rates are more than two-fold higher than those reported by European studies, and by the U.S. NNIS reports. [16][17][18][19] This difference in the incidence rates could be attributed to higher standards of care in developed countries. Nevertheless, the variability of data collection and surveillance methods should also be considered.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of surgical site infection in general surgery in a tertiary care centre in India

Kumar

Rai

2017

Int Surg J

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Background: Surgical site infection (SSI) can be defined as an infection that is present up to 30 days after a surgical procedure if no implants are placed and up to one year if an implantable device was placed in the patient. SSI is a significant problem associated with major surgeries and is the 3rd most frequently reported nosocomial infection. This study aims to study the prevalence of SSI in the Department of Surgery, Rajendra Institute of Medical Sciences (RIMS), Ranchi.Methods: A retrospective study was undertaken at the Department of General Surgery for a period of one year. Retrospective chart review was conducted from the hospital database. The rate of SSI was studied in relation to its type, the type of surgical procedure and elective vs emergency surgeries.Results: The present study revealed 12.5% prevalence of SSI in Department of General Surgery, RIMS. Among the 3 types, superficial incision SSI was most prevalent followed by deep incisional SSI and finally by organ/space SSI. The surgical procedure most commonly associated with SSI was exploratory laparotomy. An alarming 17.7% of SSI was associated with emergency surgeries as compared to 12.5% of elective surgeries.Conclusions: The consequences of SSIs greatly impact patients and the healthcare systems. Prevention of SSI requires a multifaceted approach targeting pre-, intra-, and postoperative factors. It is imperative that facilities have open-minded management teams, regulatory agencies and medical associations that want to provide the foundation required to generate a culture of patient safety in our health care systems.

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“…4 Risk of SSI has been described to be around 2.6% in all operations and SSI rates are likely to be greater than reported since all surgical wounds are contaminated by atmospheric bacteria but only a few actually develop clinical infection. 5 A study was carried out in Italy to find out the incidence of SSI in general surgery, where 3,066 surgical procedures were carried out in 2,972 patients and 154 (5%) of them developed SSI. 6 SSI also affects 2.6% of patients undergoing thyroid surgery.…”

Section: Discussionmentioning

confidence: 99%

A study of the wound performance following subcutaneous infiltration and topical instillation of ceftriaxone before primary closure of skin in laparotomy for peritonitis due to non-traumatic perforation of small intestine

Sudhir

Telkar

2017

Int Surg J

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Background: Surgical site infection (SSI) continues to be a baffling problem since time immemorial. It is one of the major causes for postoperative morbidity and mortality. Many methods have been evolved to combat wound infection, but the rate of wound infection has been more or less static over past few years. The search for alternative modes of management is going on and one of the methods is intra incisional subcutaneous infiltration of antibiotics.Methods: This is a prospective study comprising of control and study groups of 25 patients each. Control group patients did not receive subcutaneous infiltration of 1gm (diluted with 10 cc of distilled water) of ceftriaxone whereas study group received the infiltration. Precise examination of wound was done from post-operative day 3 up to day 10 for the presence of pus discharge or any subcutaneous collection.Results: Wound infection rate was 48% in control group and 32% in study group that is 12 out of 25 patients wound were infected in control and 8 out of 25 were infected in study group and 13 out of 25 had no infection in control and 17 out of 25 had no wound infection in study group.Conclusions: The incidence of SSI in the group which received subcutaneous infiltration of antibiotic was less than the group of patients, which did not receive ceftriaxone, showing that the use of subcutaneous infiltration of ceftriaxone injection at the time of wound closure may be more effective in reducing SSI.

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Incidence of Surgical Site Infections in General Surgery in Italy

Abstract: The SSI rates found are comparable with European studies and can be a benchmark for national incidence data and for inter- and intra-hospital SSI rate comparisons.

Cited by 41 publications

References 9 publications

Surgical site infections in HIV-infected patients: Results from an Italian prospective multicenter observational study

Surgical site infections in HIV-infected patients: Results from an Italian prospective multicenter observational study

Prevalence of surgical site infection in general surgery in a tertiary care centre in India

A study of the wound performance following subcutaneous infiltration and topical instillation of ceftriaxone before primary closure of skin in laparotomy for peritonitis due to non-traumatic perforation of small intestine

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