Surgical site infection rates in 16 cities in Turkey: findings of the International Nosocomial Infection Control Consortium (INICC)

Leblebicioğlu, Hakan; Erben, Nurettin; Rosenthal, Víctor D.; Şener, Alper; Uzun, Cengiz; Şenol, Güneş; Ersöz, Gülden; Demırdal, Tuna; Duygu, Fazılet; Willke, Ayşe; Sırmatel, Fatma; Öztoprak, Nefise; Köksal, İftihar; Öncül, Oral; Gürbüz, Yunus; Güçlü, Ertuğrul; Turgut, Hüseyin; Yalcin, Ata Nevzat; Özdemir, Davut; Kendirli, Tanıl; Aslan, Turan; Esen, Şaban; Ülger, Fatma; Dilek, Ahmet; Yılmaz, Hava; Sünbül, Mustafa; Özgüneş, İlhan; Usluer, Gaye; Otkun, Metin; Kaya, Ali Hakan; Kuyucu, Necdet; Kaya, Zeynep; Meriç, Meliha; Azak, Emel; Yýlmaz, Gürdal; Kaya, Selçuk; Ulusoy, Hülya; Haznedaroğlu, Tunçer; Görenek, Levent; Acar, Ali; Tütüncü, Emin Ediz; Karabay, Oğuz; Kaya, Gulsume; Saçar, Suzan; Sungurtekin, Hülya; Uğurcan, Doğaç; Turhan, Özge; Kaya, Şehnaz; Gumus, Eylul; Dursun, Oğuz; Geyik, Mehmet Faruk; Şahin, Ahmet Rıza; Erdogan, Selvi; İnce, Erdal; Karbuz, Adem; Çıftçı, Ergın; Taşyapar, Nevin; Güneş, Melek

doi:10.1016/j.ajic.2014.09.017

Cited by 24 publications

(9 citation statements)

References 19 publications

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“…The prevalence of SSI in median sternotomy is 16 (16.0%) among standart of care patients (Group A); [11] the risk reduction of SSI by ciNPT in this type of surgery is 75 (75.0%). [1] Total cost burden of SSI for median sternotomy in group A was found to be 27.889 USD and, the total cost burden of SSI for median sternotomy in group B is 11.281 USD ( Table 1).…”

Section: Resultsmentioning

confidence: 97%

“…The prevalence of SSI in laparotomy is 24% among standart of care patients (Group A); [11] the risk reduction of SSI by ciNPT in this type of surgery is 44%. [1] .…”

Section: Resultsmentioning

confidence: 98%

“…In this study we developed a model comparing two hypothetic patient cohorts (Group A: standard of care; Group B: negative pressure wound therapy (Prevena TM )) with 100 patients in each group.The number of surgical site infection patients in different surgery types was calculated according to the local publication showing the incidence of SSI in certain operations. [11] This number of SSI patients was kept in Group A, which hypothetically were treated with standard of care. The number of SSI was assumed to be reduced by applying negative pressure wound therapy (Prevena TM ) in high-risk patients in Group B.…”

Section: Methodsmentioning

confidence: 99%

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Cost-Effectiveness of Closed Incison Negative Pressure Wound Therapy for Reducing Surgical Site Infection

Çelikcan¹

2019

Anatol JFM

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Objectives: Current preventive measures for the prevention of surgical site infections (SSI) are still not sufficient. We aimed to investigate the cost-effectiveness of negative pressure wound therapy (NPWT) on closed incisions in reducing SSI by reviewing local data or available data and values. Methods: We suggested a complication cost model for 100 patients, one-fourth of which were presumed as high-risk patients. In high-risk patients, the cost of negative pressure wound therapy (Prevena TM) was added to the complication cost. The control group was another hypothetical group of patients, and the SSI cost was also calculated. The cost of negative pressure wound therapy (Prevena TM) in this calculation was the actual raised price of the therapy system in Turkey in the beginning of 2019. Results: There was an additional 11.953 USD cost for the SSI in 100 amputation patients when standard care was performed. If we apply negative pressure wound therapy (Prevena TM) in 25 patients who would be considered as high risk, the additional cost would be 11.361 USD. In the case of median sternotomy, the cost of SSI burden was 27.889 USD for standard care, and the cost burden including negative pressure wound therapy (Prevena TM) cost for high-risk patients was calculated as 11.281 USD. In the laparotomy group, the cost burden of SSI in standard care was 165.105 USD, and negative pressure wound therapy (Prevena TM) group had 96.767 USD. Conclusion: Applying negative pressure wound therapy (Prevena TM) in high-risk patients, as recommended in World Health Organization guideline in different surgery types, demonstrates cost benefit. The cost benefit of PrevenaTM was more apparent in median sternotomy and laparotomy compared to amputation. Negative pressure wound therapy (Prevena TM) can be a good choice in high-risk patients in cost perspective. Further studies would be needed to confirm the cost-effectiveness of negative pressure wound therapy (Prevena TM) in different types of surgeries.

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Section: Resultsmentioning

confidence: 97%

“…The prevalence of SSI in laparotomy is 24% among standart of care patients (Group A); [11] the risk reduction of SSI by ciNPT in this type of surgery is 44%. [1] .…”

Section: Resultsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

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Cost-Effectiveness of Closed Incison Negative Pressure Wound Therapy for Reducing Surgical Site Infection

Çelikcan¹

2019

Anatol JFM

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“…Pesquisa realizada em hospitais de 16 cidades da Turquia identificou taxa geral de ISC de 4,3% entre 41.563 procedimentos. 10 Estudo semelhante em seis cidades da Índia reportou taxa de 4,2% de ISC entre 28.340 cirurgias 11 . Estudo internacional, que objetivou determinar o impacto da ISC nos custos dos cuidados de saúde em procedimentos ambulatoriais, por meio de uma coorte retrospectiva de pacientes, identificou taxas de 0,3% e 0,5% (colecistectomias), 0,6% e 0,5% (herniorrafias) e 0,8% (cirurgias de mama) 12.12 Na Colômbia, foram observados 193 casos de ISC em 5.063 procedimentos realizados (3,8%) 13 .…”

Section: Introductionunclassified

Incidência de infecção de sítio cirúrgico em hospital dia: coorte de 74.213 pacientes monitorados

2019

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Objetivos: Descrever a incidência de infecção do sítio cirúrgico (ISC) em seguimento após alta em hospital dia (HD) e comparar esses indicadores com dados de hospitais convencionais. Método: Estudo de coorte histórica composto de 74.213 pacientes operados e monitorados num HD de Salvador (BA), entre 2012 e 2017. Resultados: No período estudado, o sistema de vigilância do HD monitorou 85,1% dos pacientes após a alta e foi identificada incidência total de ISC de 0,3%, com variação de 0,2 a 0,4% entre os anos, taxas estatisticamente menores do que as reportadas para ISC em regime de internação hospitalar. Conclusão: Os indicadores de ISC revelados neste estudo ratificam que a modalidade da assistência cirúrgica ambulatorial porta menor risco de aquisição de infecção para os pacientes operados, quando comparados com os dados de infecção cirúrgica de pacientes em hospitais convencionais. Entretanto, torna-se indispensável um sistema de seguimento dos pacientes após a alta, no sentido de evitar a subnotificação e os sub-registros dos dados de ISC, pois na ausência de ambos se podem ocultar riscos e identificar taxas irreais

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“…In patients who underwent surgical procedures, the natural barrier against bacteria was broken by surgical trauma or invasive procedures such as tracheal intubation under general anesthesia, central venous cannulation, urethral catheterization and gastrointestinal decompression (1)(2)(3)(4). Long-term postoperative application of broad-spectrum antibiotics also increased the possibility of dysbacteriosis (5,6). Some scholars investigated the mortality in patients experiencing postoperative nosocomial infection in the departments of general surgery.…”

Section: Introductionmentioning

confidence: 99%

Regression analysis of the risk factors for postoperative nosocomial infection in patients with abdominal tumors: experience from a large cancer centre in China

Sun

Zhu

et al. 2015

DD&T

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Nosocomial infection is a common complication after abdominal oncology surgery. Aimed at finding its independent risk factors for prevention, all the patients who underwent abdominal oncology surgery were summarized from March 1(st), 2010 to March 1(st), 2013 from the oncology surgery department, Beijing Shijitan Hospital. The investigated variances were patients' information including admission number, sex, age, diabetes, diagnosis, length of stay, American society of anesthesiologists (ASA) grade, surgery time, number of drainage tubes. Comparisons were taken between the infected cases and non-infected cases for retrospective logistic regression analysis. 4 variances including diabetes, preoperative hospitalization time ≥ 6 days, surgery time ≥ 230 minutes, ASA grade ≥ III were found out to be related to nosocomial infection after surgery. The 4 variances mentioned above were risk factors for nosocomial infection after surgery.

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Surgical site infection rates in 16 cities in Turkey: findings of the International Nosocomial Infection Control Consortium (INICC)

Cited by 24 publications

References 19 publications

Cost-Effectiveness of Closed Incison Negative Pressure Wound Therapy for Reducing Surgical Site Infection

Cost-Effectiveness of Closed Incison Negative Pressure Wound Therapy for Reducing Surgical Site Infection

Incidência de infecção de sítio cirúrgico em hospital dia: coorte de 74.213 pacientes monitorados

Regression analysis of the risk factors for postoperative nosocomial infection in patients with abdominal tumors: experience from a large cancer centre in China

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