Prospective Surveillance for Surgical Site Infection in St. Petersburg, Russian Federation

Brown, Samuel M.; Eremin, Sergey; Shlyapnikov, Sergey; Петрова, Елена; Shirokova, Ludmila V; Goldmann, Donald A.; OʼRourke, Edward J.

doi:10.1086/509849

Cited by 20 publications

(14 citation statements)

References 39 publications

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“…This may be partially explained by the fact that the number of patients recruited from the obstetrics and gynecology Department were more than those recruited from the other two departments. brown et al 13 in their study also found a high percentage of females (61%). out of the total number of patients included in this research; 19% were ≥50 years old.…”

Section: Discussionmentioning

confidence: 70%

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

Elbur¹,

Yousif²,

Elsayed³

et al. 2012

Int. j. infect. control

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Surgical site infections are the second most common cause of hospital acquired infections. The objectives of this study were to quantify the rate of wound infection and to identify risk factors associated for its prevalence among patients admitted for elective surgery in Khartoum Teaching Hospital in Sudan. A prospective study was conducted. All patients, aged >18 years admitted during March 1st 2010 to 31th october 2010 were recruited. baseline data was collected before the patient was operated. Patients were followed up to one month for detection of wound infection using bedside and post-discharge surveillance. A total of 1387 patients were included with a mean age of 35±14 years and 1138(82%) were females. More than three quarters were healthy (79.3%) and 1367 (98.6%) patients were operated on conventionally. The total number of the performed surgical procedures was 1426. The rate of wound infection was found to be 9%. The majority of the infected wounds 120 (96%) were superficial and only 5 (4%) were deep incisional. Univariate analysis revealed that five variables were significantly associated with the prevalence of wound infection; namely patient's body mass index (P=0.041), comorbidity (P=0.006), presence of diabetes (P=0.010), ASA score (P<0.0001) and laparoscopic surgical technique (P=0.007). Multivariate logistic analysis showed that ASA score 2 and ASA score > 3, [adjusted OR 1.9 (1.2-3.0), P =0.006 and adjusted OR 3.6 (2.0-6.7); P<0.001 respectively], laparoscopic surgical technique [adjusted OR 5.5 (2-14.8); P=0.001] were mostly significantly associated with the prevalence of wound infection. The rate of wound infection was high with patient's physical status being strong predictor of infection.

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Section: Discussionmentioning

confidence: 70%

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

Elbur¹,

Yousif²,

Elsayed³

et al. 2012

Int. j. infect. control

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“…For example, incidence rates were 1.9% in the United States, 2.2% in Europe, 1.6% in Germany, 1.4% in England, 1.6% in France, and 2.0% in Portugal. Comparisons of SSI incidence rates between countries is presented in Figure 3 9 24 25 26 27 28 29 30 31 32 33 . The pooled SSI incidence rate was higher (4.6%) in remote western regions relative to those of the midlands (3.8%) and eastern coastal regions (3.0%).…”

Section: Discussionmentioning

confidence: 99%

The Incidence and Distribution of Surgical Site Infection in Mainland China: A Meta-Analysis of 84 Prospective Observational Studies

Fan

Wei

Wang

et al. 2014

Sci Rep

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Surgical site infection (SSI) is one of the most common surgical complications in the world, particularly in developing countries. This study aimed to estimate the incidence and distribution of SSI in mainland China. Eighty-four prospective observational studies (82 surveillance studies, 1 nested case control study, and 1 cohort study) were selected for inclusion in this meta-analysis. The average incidence of SSI in mainland China was 4.5% (95% CI: 3.1–5.8) from 2001 to 2012 and has decreased significantly in recent years. The remote western regions had a higher incidence of 4.6% (95% CI: 4.0–5.3). The most common surgical procedure was abdominal surgery (8.3%, 95% CI: 6.5–10.0). SSI occurred frequently in the elderly (5.1%, 95% CI: 2.2–8.0), patients confined to hospital for over 2 weeks (5.7%, 95% CI: 0.9–10.0), superficial incision wounds (5.6%, 95% CI: 4.4–6.8), dirty wounds (8.7%, 95% CI: 6.9–10.6), operations lasting for over 2 hours (7.3%, 95% CI: 4.9–9.7), general anaesthesia operations (4.7%, 95% CI: 2.7–6.6), emergency surgeries (5.9%, 95% CI: 4.2–7.7), and non-intra-medication operations (7.4%, 95% CI: 1.0–13.7).

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“…1,2 Few data exist about pediatric SSI rates and perioperative antimicrobial prophylaxis (AP) practices in children, especially from Europe. [3][4][5] Acquiring these data is particularly important in Greece, because healthcare-associated infection rates, antimicrobial consumption, and prevalence of multidrug-resistant organisms are among the highest observed in developed nations. We sought to determine the incidence of SSIs and to evaluate current perioperative AP practices among pediatric surgery patients in Greece.…”

mentioning

confidence: 99%

Surgical Site Infections and Compliance with Perioperative Antimicrobial Prophylaxis in Greek Children

Dimopoulou

Papanikolaou

Kourlaba

et al. 2014

Infect. Control Hosp. Epidemiol.

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Prospective Surveillance for Surgical Site Infection in St. Petersburg, Russian Federation

Cited by 20 publications

References 39 publications

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

The Incidence and Distribution of Surgical Site Infection in Mainland China: A Meta-Analysis of 84 Prospective Observational Studies

Surgical Site Infections and Compliance with Perioperative Antimicrobial Prophylaxis in Greek Children

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