Procedure categories under surgical site infection surveillance, Hungary, 2011-2015

Abstract

CDC) for surgical site infection surveillance. For the calculation of the numbers of operations per 100,000 inhabitants the Hungarian Central Statistics Office's yearly population data was used.Results: Beside the generally monitored categories, like Caesarean section, cholecystectomy, colon surgery and hip prosthesis (with 322.3, 240.7, 144.4 and 122.9 operations per 100000 per year), other, rarely under surveillance operations, frequency was high (herniorrhaphy, exploratory laparotomy, ovarian and breast surgery with 480.6, 282, 131.1 and 114.3 operations per 100000 per year, respectively). Operations with potentially higher infection rates as limb amputation, appendix surgery and hysterectomy (abdominal and vaginal combined) were also frequently performed (102.8, 100.8 and 99 operations per 100000 per year). As known, number of laminectomy, knee prosthesis, cardiac and bypass operations are also considerable, but patients often undergo thoracic, (para)thyroid, small bowel surgery and craniotomy too.Conclusion: Taking into account the high numbers of certain surgical procedures even with low infection rates they can affect numerous patients. Under surveillance elevated attention could force early detection of infection or even more careful application of preventive measures. Surveillance of frequent operation categories with limited number of procedure types involved has to be considered on national or even on European level, e.g. herniorrhaphy, ovarian surgery.