Surgical site infections: incidence and trends at a community teaching hospital

Kassavin, Daniel S.; Pascarella, L; Goldfarb, Michael A.

doi:10.1016/j.amjsurg.2010.03.002

Cited by 21 publications

(15 citation statements)

References 24 publications

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“…, Kassavin et al . ). In the United States, up to 1·4 million cases of SSI occur per year, affecting 2–5% of all surgeries and result in hospital costs of in excess of 1 billion US dollars per annum (Engemann et al .…”

Section: Introductionmentioning

confidence: 97%

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Postsurgery wound assessment and management practices: a chart audit

Gillespie

Chaboyer

Kang

et al. 2014

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 97%

“…, ACHS , Kassavin et al . ). There is an abundance of literature on chronic wound management; however, there is limited research that has examined the documented postoperative management of surgical wounds – that is, wounds that heal by primary intention.…”

Section: Introductionmentioning

confidence: 97%

Postsurgery wound assessment and management practices: a chart audit

Gillespie

Chaboyer

Kang

et al. 2014

Journal of Clinical Nursing

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“…Despite remarkable advances in the use of surgical techniques and prophylactic antibiotics and environmental/ergonomic improvements in the operating room, surgical site infections (SSIs) remain a significant cause of patient morbidity and mortality, 1 , 2 and are the third-most common source of hospital-acquired infection. 3 Of concern is that SSIs occur in up to 30% of all surgical procedures, and yet most are preventable.…”

Section: Introductionmentioning

confidence: 99%

Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review

Gillespie¹,

Kang²,

Roberts³

et al. 2015

JMDH

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PurposeTo identify and describe the strategies and processes used by multidisciplinary teams of health care professionals to reduce surgical site infections (SSIs).Materials and methodsAn integrative review of the research literature was undertaken. Searches were conducted in April 2015. Following review of the included studies, data were abstracted using summary tables and the methodological quality of each study assessed using the Standards for Quality Improvement Reporting Excellence guidelines by two reviewers. Discrepancies were dealt with through consensus. Inductive content analysis was used to identify and describe the strategies/processes used by multidisciplinary health care teams to prevent SSI.Results and discussionIn total, 13 studies met the inclusion criteria. Of these, 12 studies used quantitative methods, while a single study used qualitative interviews. The majority of the studies were conducted in North America. All quantitative studies evaluated multifaceted quality-improvement interventions aimed at preventing SSI in patients undergoing surgery. Across the 13 studies reviewed, the following multidisciplinary team-based approaches were enacted: using a bundled approach, sharing responsibility, and, adhering to best practice. The majority of studies described team collaborations that were circumscribed by role. None of the reviewed studies used strategies that included the input of allied health professionals or patient participation in SSI prevention.ConclusionPatient-centered interventions aimed at increasing patient participation in SSI prevention and evaluating the contributions of allied health professionals in team-based SSI prevention requires future research.

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“…In developed countries such as the USA, the incidence of surgical site infections was estimated to be 1.9% where as in developing countries such as India, the incidence is estimated at 8.75 % [4,5]. In Africa surgical site infections have been estimated to have an incidence as high 27.9% [6,7].…”

Section: Surgical Site Infection (Ssi) Is Among the Most Commonmentioning

confidence: 99%

Surgical Site Infection: The Rate and Antimicrobial Sensitivity Pattern in Electively Operated Surgical and Gynecological Patients at Kilimanjaro Christian Medical Centre, Northern Tanzania

Herman¹,

Massenga²,

Chilonga³

et al. 2017

J Surg Surgical Res

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Background: Surgical site infections are dreaded by many as they impose a greater economic costs, morbidity and mortality that in developing countries place a burden on an already burdened healthcare system. In Tanzania previously studies done in different centers reported high rates of Surgical Site Infection. This study aimed to quantify in a low income, tertiary hospital, the rate of Surgical Site infections, microorganisms implicated and their respective sensitivity pattern to local antibiotics, and associated perioperative risk factors in electively operated surgical and gynecological patients at Kilimanjaro Christian Medical Centre.Method: 301 patients admitted for elective procedures in the surgical and gynecological units were enrolled consecutively after consenting for the study. A standardized data collection form was used to record patients' information on perioperative risk factors. Patients were followed up in surgical outpatient clinic up to one month post discharge. Swabs from wounds showing signs of infection were taken for culture and sensitivity and processed at the laboratory as per standard operating procedures.Results: Out of a total of 301 patients, 181 patients were from general surgical ward and 115 from gynecological wards. Females were more than males (3:1) with most, 43.9% within the age group 40 to 60 years. Overall, 21.3% of the patients developed surgical site infection. 71 organisms were isolated, S. Aureus species were the leading cause of surgical site infections making 52% of the total isolates. Most of the gram positive organisms were resistant to ampicillin, the common antibiotic used in the gynecology unit. Contaminated wounds were 10 times more likely to develop surgical site infections, and clean contaminated wounds fi ve times when compared to clean wounds. Duration of procedure, Surgeons skills, wound class and number of people in theater showed signifi cant association with surgical site infection, however only wound class and duration of procedure remained statistically signifi cant after a multivariate analysis. Conclusion:We found an SSI rate of 21.3%, slightly higher than previous studies in the same center. The wound class and duration of procedure remained signifi cant risk factors after logistic regression analysis. As with other studies, S. Aureus was the most common causative organism for SSI isolated from our study.

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Surgical site infections: incidence and trends at a community teaching hospital

Cited by 21 publications

References 24 publications

Postsurgery wound assessment and management practices: a chart audit

Postsurgery wound assessment and management practices: a chart audit

Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review

Surgical Site Infection: The Rate and Antimicrobial Sensitivity Pattern in Electively Operated Surgical and Gynecological Patients at Kilimanjaro Christian Medical Centre, Northern Tanzania

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