Mapping national surveillance of surgical site infections in England: needs and priorities

Troughton, Rachael; Birgand, Gabriel; Johnson, Alan P.; Naylor, Nichola R; Gharbi, Myriam; Aylin, Paul; Hopkins, Susan; Jaffer, Usman; Holmes, Alison

doi:10.1016/j.jhin.2018.06.006

Cited by 19 publications

(20 citation statements)

References 32 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SSI, as well as others operative wound complications, generate problems for the patient, family, and healthcare services 8,22,24 . This condition results in increased physical and emotional burden, as well as maternal postpartum morbidity and mortality 4,7,24 42 . Evidence does not support use of routine intra-abdominal irrigation.…”

Section: Discussionmentioning

confidence: 99%

Surgical Site Infection in Cesarean Section Operation: Risk and Management

Younes

Farias

Sardenberg³

2019

IJIP

View full text Add to dashboard Cite

Cesarean sections (CS) are one of the most commonly performed surgical procedures worldwide. There is great variability in the percentage of cesarean sections between countries, varying from 3% to 42.9%5. In the US, approximately 32% of deliveries occur through a cesarean section. Overall, a drastic increase in cesarean section rate has been reported reaching its highest level at the present time. In Brazil, considering the types of births by live births from 2006 to 2016, the national percentage of cesarean section was 52.37%. The variability in this percentage can still be perceived within Brazilian territory. The highest cesarean rate occurred in the Southern region, representing 58.33% of births, while the lowest rate occurred in the Northern region, with 41.79%. It is possible to see the steady increase in the percentage of CS over time, from 45.01% in 2006 to 55.39% in 2016.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical Site Infection in Cesarean Section Operation: Risk and Management

Younes

Farias

Sardenberg³

2019

IJIP

View full text Add to dashboard Cite

show abstract

“…However, these costs do not include the necessary subsequent revision surgeries, costing at least an additional £43,075,629 per annum. 19 This study aims to empirically quantify the vitamin D concentrations among orthopaedic patients in the UK, and to establish whether there is any correlation between low levels of vitamin D and orthopaedic infection.…”

Section: Introductionmentioning

confidence: 99%

“…However, these costs do not include the necessary subsequent revision surgeries, costing at least an additional £43,075,629 per annum. 19 …”

Section: Introductionmentioning

confidence: 99%

<p>The Relationship Between Serum 25[OH]D Concentration and Orthopaedic Infection: A Case-Control Study</p>

Zargaran¹,

Zargaran²,

Trompeter³

2020

ORR

View full text Add to dashboard Cite

Background: An estimated one in two healthy adults in the United Kingdom suffer from low levels of 25[OH]D. Vitamin D is involved in modulating immune response, but there is less clarity over its role in orthopaedic infection. This study assesses the relationship between serum 25[OH]D concentration and orthopaedic infection. Methods: A total of 205 patients in a tertiary referral centre for orthopaedic infection were included in the study. They were divided into groups based on their infection status, matched by age and gender. Data were statistically analysed to determine presence and direction of relationship. Results: A total of 114 patients had an infection. There was no statistically significant difference in age or gender between the two groups. Mean serum 25[OH]D concentration was 39 nmol/L in the group with infection and 59 nmol/L in the group without an infection (p<0.01). Overall mean serum 25[OH]D concentration was 48 nmol/L. There was a correlation between low serum 25 [OH]D concentration and rate of infection (odds ratio, 5.94; 95% confidence interval [CI], 3.24 to 10.92) with a bivariate correlation of −0.338 (p<0.01). Conclusion: This study demonstrates an association between low levels of serum 25[OH]D and increased orthopaedic infection. Orthopaedic inpatients suffered from vitamin D insufficiency, and there was a correlation between higher levels of serum 25[OH]D and lower rates of infection. This suggests that prophylactic supplementation of 25[OH]D may improve outcomes, and provides a foundation for randomized controlled trials to assess its effectiveness in practice.

show abstract

“…Although there appears to be several patient level factors that make developing an SSI following a CS more likely, the extent to which the interaction between these elements increase the likelihood of infection, and the distinction between the predisposing factors associated with an elective versus emergency CS is less obvious. This is problematic, as a lack of evidence-based guidelines contributes to inconsistencies in SSI prevention, treatment and management in CS, increasing the economic burden 22 and obvious detrimental effect on patient outcomes and experiences of care. Whilst evidence-based guidelines emphasise the prevention and treatment of SSI 1 there is an obvious lack of guidance for the management of SSI in emergency CS.…”

Section: Introductionmentioning

confidence: 99%

Surgical Site Infection following Emergency Caesarean Section incidence and associated risk factors: a retrospective case-control study.

Ousey¹,

Blackburn²,

Stephenson³

et al. 2020

Preprint

View full text Add to dashboard Cite

Objective: To quantify the incidence, risk and associated factors that contribute to the development of Surgical Site Infection (SSI) in emergency Caesarean Section (CS). Design: A retrospective case-control study. Setting: An acute District General Hospital in England. Sample: 206 patients (101 SSI patients and 105 non-SSI patients) who had emergency CS between January-December 2017. Methods: Grade of surgeon, smoking status, pre-operative vaginal swab, diabetes status, age, body mass index (BMI), membrane rupture to delivery interval and length of surgery were recorded. Risk factors significantly associated with SSI were identified using simple and multiple logistic regression procedures. Results: BMI (kg/m2) was significantly associated with SSI occurrence and age (odds ratio (OR) 1.17; 95% confidence interval (CI) 1.11 to 1.24; p<0.001). Substantive non-significant associations were recorded between SSI, patient age and vaginal swab. Conclusion: This study identified BMI as the only significant risk factor from a range of patient-level factors for the development of an SSI in emergency CS, possibly due to the impact of excessive adipose tissue on the body's immune system and reduced effectiveness of antibiotics. The importance of appropriate wound management including frequent wound cleaning, appropriate dressings and dressing change and education is highlighted. Improved guidelines and strategies for managing at-risk patients would enable clinicians to manage emergency CS patients better and reduce the risk of SSI development. Diabetes status, patient age and pre-op vaginal swab were not significantly associated with SSI in emergency CS. Future research on larger samples should be conducted to validate these findings.

show abstract

Mapping national surveillance of surgical site infections in England: needs and priorities

Abstract: Current surveillance and future priorities were not associated with SSI rate, volume, or cost to hospitals. The two highest contributors of SSIs and related costs have no (caesarean section) or limited (LBS) coverage by national surveillance.

Cited by 19 publications

References 32 publications

Surgical Site Infection in Cesarean Section Operation: Risk and Management

Surgical Site Infection in Cesarean Section Operation: Risk and Management

<p>The Relationship Between Serum 25[OH]D Concentration and Orthopaedic Infection: A Case-Control Study</p>

Surgical Site Infection following Emergency Caesarean Section incidence and associated risk factors: a retrospective case-control study.

Contact Info

Product

Resources

About