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

Abstract

In this population-based surveillance study of patients undergoing CABG surgery, the incidence of SSI decreased markedly between 1993 and 2008 in patients in Olmsted County. The factors responsible for this decrease are the focus of ongoing investigations.

Diminishing Surgical Site Infections in Australia: Time Trends in Infection Rates, Pathogens and Antimicrobial Resistance Using a Comprehensive Victorian Surveillance Program, 2002–2013

“…These findings are consistent with international reports that suggest S. aureus to be the most frequent infecting organism across a range of surgical procedures, 11,19 even in the context of reductions in SSI rates for CABGs and orthopedic procedures over the last decade. 20,21 Contrary to time trends for the majority of pathogens, we observed a significantly increasing incidence of infections due to CNS following CABG procedures and a notable proportion of orthopedic infections (8.9%) due to CNS. The reasons for these trends are not clear, but some have proposed that infection prevention measures targeting S. aureus may not be as effective for reducing risk for CNS SSI and that additional measures (eg, environmental decontamination) may be required to reduce CNS SSI risk.…”

The Importance of Continued Quality Improvement Efforts in Monitoring Hospital-Acquired Infection Rates: A Cardiac Surgery Experience

“…However, we believe that it is too early to be certain whether these changes have had a true impact, even though our data suggested no rise in infection in 2013. One should also note that the overall rate of infection (14%) we report is consistent with infection rates reported by similarly conducted studies at other institutions that range from 7% to 20% [10,11].…”

“…To date, few studies have comprehensively studied HAI in patients who have undergone cardiac surgical procedures [11,12]. Elbardissi and associates reported a 32.9% relative risk reduction in the incidence of superficial SSIs from 2000 to 2009 in 1,497,254 patients who underwent isolated primary CABG, but this study did not focus on infection specifically and furthermore looked only at SSIs, which affected only 1% of patients [12].…”

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

“…1 3 SSI after cardiac surgery increase the patient morbidity and mortality, the length of hospital stay and hospital costs. 4 Multisite information regarding SSI rates for cardiac surgery programmes is not readily available. Moreover, SSI risk factors after coronary artery bypass graft (CABG) and valvular surgery have rarely been assessed by population-based or multicentre studies.…”