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Impact of participation in a surgical site infection surveillance network: results from a large international cohort study
- Title
- Impact of participation in a surgical site infection surveillance network: results from a large international cohort study
- Authors
- Abbas, M.; de Kraker, M. E. A.; Aghayev, E.; Astagneau, P.; Aupee, M.; Behnke, M.; Bull, A.; Choi, H. J.; de Greeff, S. C.; Elgohari, S.; Gastmeier, P.; Harrison, W.; Koek, M. B. G.; Lamagni, T.; Limon, E.; Lower, H. L.; Lyytikainen, O.; Marimuthu, K.; Marquess, J.; McCann, R.; Prantner, I; Presterl, E.; Pujol, M.; Reilly, J.; Roberts, C.; Segagni Lusignani, L.; Si, D.; Szilagyi, E.; Tanguy, J.; Tempone, S.; Troillet, N.; Worth, L. J.; Pittet, D.; Harbarth, S.
- Ewha Authors
- 최희정
- SCOPUS Author ID
- 최희정
- Issue Date
- 2019
- Journal Title
- JOURNAL OF HOSPITAL INFECTION
- ISSN
- 0195-6701
1532-2939
- Citation
- JOURNAL OF HOSPITAL INFECTION vol. 102, no. 3, pp. 267 - 276
- Keywords
- Healthcare-associated infection; Infection control; Surgical site infection; Surveillance; Epidemiology; Surveillance networks
- Publisher
- W B SAUNDERS CO LTD
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background: Surveillance of surgical site infections (SSIs) is a core component of effective infection control practices, though its impact has not been quantified on a large scale. Aim: To determine the time-trend of SSI rates in surveillance networks. Methods: SSI surveillance networks provided procedure-specific data on numbers of SSIs and operations, stratified by hospitals' year of participation in the surveillance, to capture length of participation as an exposure. Pooled and procedure-specific random-effects Poisson regression was performed to obtain yearly rate ratios (RRs) with 95% confidence intervals (CIs), and including surveillance network as random intercept. Findings: Of 36 invited networks, 17 networks from 15 high-income countries across Asia, Australia and Europe participated in the study. Aggregated data on 17 surgical procedures (cardiovascular, digestive, gynaecological-obstetrical, neurosurgical, and orthopaedic) were collected, resulting in data concerning 5,831,737 operations and 113,166 SSIs. There was a significant decrease in overall SSI rates over surveillance time, resulting in a 35% reduction at the ninth (final) included year of surveillance (RR: 0.65; 95% CI: 0.63-0.67). There were large variations across procedure-specific trends, but strong consistent decreases were observed for colorectal surgery, herniorrhaphy, caesarean section, hip prosthesis, and knee prosthesis. Conclusion: In this large, international cohort study, pooled SSI rates were associated with a stable and sustainable decrease after joining an SSI surveillance network; a causal relationship is possible, although unproven. There was heterogeneity in procedure-specific trends. These findings support the pivotal role of surveillance in reducing infection rates and call for widespread implementation of hospital-based SSI surveillance in high-income countries. (C) 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
- DOI
- 10.1016/j.jhin.2018.12.003
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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