National surveillance of surgical site infections after coronary artery bypass grafting in Norway: incidence and risk factors

Berg, Thale Cathrine; Kjørstad, Kjell E.; Akselsen, Per Espen; Seim, Bjørn Edvard; Løwer, Hege Line; Stenvik, Maryann; Sorknes, Nina Kristine; Eriksen, Hanne-Merete

doi:10.1016/j.ejcts.2011.02.038

Cited by 19 publications

(25 citation statements)

References 23 publications

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“…The complex sternal site infection rate (1.3%) in our study is comparable with findings from the HAI surveillance system in Norway (1.1%, 2,440 CABG procedures) [19] and the NHSN system in the US (1.2%, 133,503 procedures) [14]. Characteristics of patients and CABG procedures were similar across these three study settings in terms of compositions of gender, age and wound classification, and proportions of emergency procedures.…”

Section: Discussionsupporting

confidence: 86%

Surgical site infections following coronary artery bypass graft procedures: 10 years of surveillance data

Rajmokan

Lakhan

et al. 2014

BMC Infect Dis

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BackgroundSurgical site infections following coronary artery bypass graft (CABG) procedures pose substantial burden on patients and healthcare systems. This study aims to describe the incidence of surgical site infections and causative pathogens following CABG surgery over the period 2003–2012, and to identify risk factors for complex sternal site infections.MethodsRoutine computerised surveillance data were collected from three public hospitals in Queensland, Australia in which CABG surgery was performed between 2003 and 2012. Surgical site infection rates were calculated by types of infection (superficial/complex) and incision sites (sternal/harvest sites). Patient and procedural characteristics were evaluated as risk factors for complex sternal site infections using a logistic regression model.ResultsThere were 1,702 surgical site infections (518 at sternal sites and 1,184 at harvest sites) following 14,546 CABG procedures performed. Among 732 pathogens isolated, Methicillin-sensitive Staphylococcus aureus accounted for 28.3% of the isolates, Pseudomonas aeruginosa 18.3%, methicillin-resistant Staphylococcus aureus 14.6%, and Enterobacter species 6.7%. Proportions of Gram-negative bacteria elevated from 37.8% in 2003 to 61.8% in 2009, followed by a reduction to 42.4% in 2012. Crude rates of complex sternal site infections increased over the reporting period, ranging from 0.7% in 2004 to 2.6% in 2011. Two factors associated with increased risk of complex sternal site infections were identified: patients with an ASA (American Society of Anaesthesiologists) score of 4 or 5 (reference score of 3, OR 1.83, 95% CI 1.36-2.47) and absence of documentation of antibiotic prophylaxis (OR 2.03, 95% CI 1.12-3.69).ConclusionsCompared with previous studies, our data indicate the importance of Gram-negative organisms as causative agents for surgical site infections following CABG surgery. An increase in complex sternal site infection rates can be partially explained by the increasing proportion of patients with more severe underlying disease.

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Section: Discussionsupporting

confidence: 86%

Surgical site infections following coronary artery bypass graft procedures: 10 years of surveillance data

Rajmokan

Lakhan

et al. 2014

BMC Infect Dis

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“…This result is consistent with previous nationwide studies. 5,6 A significant heterogeneity of SSI occurrence between wards was found. This is, to our knowledge, the first nationwide study showing the contribution of ward risk factors in cardiac surgery SSI.…”

Section: Discussionmentioning

confidence: 94%

Surgical site infection after valvular or coronary artery bypass surgery: 2008–2011 French SSI national ISO-RAISIN surveillance

Cossin¹,

Malavaud

Jarno³

et al. 2015

Journal of Hospital Infection

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“…Because the surveillance was elective for LHSI and mandatory for sternal SSI, it is conceivable that some LHSI cases were missed. The first Norwegian study of national baseline incidence rates of SSI after CABG surgery performed between 2005 and 2009 was conducted by Berg et al 23 The overall SSI incidence rate was 14%, the sternal SSI rate was 5.1%, and the LHSI rate was 8.9%. However, the surveillance system used was not yet validated, and numbers of participating hospitals varied.…”

Section: Discussionmentioning

confidence: 99%

Temporal Trends in the Incidence of Surgical Site Infections in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Population-Based Cohort Study, 1993 to 2008

Alasmari

Tleyjeh

Riaz

et al. 2012

Mayo Clinic Proceedings

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National surveillance of surgical site infections after coronary artery bypass grafting in Norway: incidence and risk factors

Cited by 19 publications

References 23 publications

Surgical site infections following coronary artery bypass graft procedures: 10 years of surveillance data

Surgical site infections following coronary artery bypass graft procedures: 10 years of surveillance data

Surgical site infection after valvular or coronary artery bypass surgery: 2008–2011 French SSI national ISO-RAISIN surveillance

Temporal Trends in the Incidence of Surgical Site Infections in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Population-Based Cohort Study, 1993 to 2008

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