Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 최희정 | * |
dc.date.accessioned | 2020-08-20T16:30:54Z | - |
dc.date.available | 2020-08-20T16:30:54Z | - |
dc.date.issued | 2019 | * |
dc.identifier.issn | 0195-6701 | * |
dc.identifier.issn | 1532-2939 | * |
dc.identifier.other | OAK-24992 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/255128 | - |
dc.description.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. | * |
dc.language | English | * |
dc.publisher | W B SAUNDERS CO LTD | * |
dc.subject | Healthcare-associated infection | * |
dc.subject | Infection control | * |
dc.subject | Surgical site infection | * |
dc.subject | Surveillance | * |
dc.subject | Epidemiology | * |
dc.subject | Surveillance networks | * |
dc.title | Impact of participation in a surgical site infection surveillance network: results from a large international cohort study | * |
dc.type | Article | * |
dc.relation.issue | 3 | * |
dc.relation.volume | 102 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 267 | * |
dc.relation.lastpage | 276 | * |
dc.relation.journaltitle | JOURNAL OF HOSPITAL INFECTION | * |
dc.identifier.doi | 10.1016/j.jhin.2018.12.003 | * |
dc.identifier.wosid | WOS:000472166500004 | * |
dc.identifier.scopusid | 2-s2.0-85059743408 | * |
dc.author.google | Abbas, M. | * |
dc.author.google | de Kraker, M. E. A. | * |
dc.author.google | Aghayev, E. | * |
dc.author.google | Astagneau, P. | * |
dc.author.google | Aupee, M. | * |
dc.author.google | Behnke, M. | * |
dc.author.google | Bull, A. | * |
dc.author.google | Choi, H. J. | * |
dc.author.google | de Greeff, S. C. | * |
dc.author.google | Elgohari, S. | * |
dc.author.google | Gastmeier, P. | * |
dc.author.google | Harrison, W. | * |
dc.author.google | Koek, M. B. G. | * |
dc.author.google | Lamagni, T. | * |
dc.author.google | Limon, E. | * |
dc.author.google | Lower, H. L. | * |
dc.author.google | Lyytikainen, O. | * |
dc.author.google | Marimuthu, K. | * |
dc.author.google | Marquess, J. | * |
dc.author.google | McCann, R. | * |
dc.author.google | Prantner, I | * |
dc.author.google | Presterl, E. | * |
dc.author.google | Pujol, M. | * |
dc.author.google | Reilly, J. | * |
dc.author.google | Roberts, C. | * |
dc.author.google | Segagni Lusignani, L. | * |
dc.author.google | Si, D. | * |
dc.author.google | Szilagyi, E. | * |
dc.author.google | Tanguy, J. | * |
dc.author.google | Tempone, S. | * |
dc.author.google | Troillet, N. | * |
dc.author.google | Worth, L. J. | * |
dc.author.google | Pittet, D. | * |
dc.author.google | Harbarth, S. | * |
dc.contributor.scopusid | 최희정(57217262202) | * |
dc.date.modifydate | 20240422112010 | * |