Impact of postdischarge surveillance on surgical site infection rates for several surgical procedures: results from the nosocomial surveillance network in The Netherlands.
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Type
ArticleLanguage
en
Metadata
Show full item recordTitle
Impact of postdischarge surveillance on surgical site infection rates for several surgical procedures: results from the nosocomial surveillance network in The Netherlands.Publiekssamenvatting
OBJECTIVE: To compare the number of surgical site infections (SSIs) registered after hospital discharge with respect to various surgical procedures and to identify the procedures for which postdischarge surveillance (PDS) is most important. DESIGN: Prospective SSI surveillance with voluntary PDS. Recommended methods for PDS in the Dutch national nosocomial surveillance network are addition of a special registration card to the outpatient medical record, on which the surgeon notes clinical symptoms and whether a patient developed an SSI according to the definitions; an alternative method is examination of the outpatient medical record. SETTING: Hospitals participating in the Dutch national nosocomial surveillance network between 1996 and 2004. RESULTS: We collected data on 131,798 surgical procedures performed in 64 of the 98 Dutch hospitals. PDS was performed according to one of the recommended methods for 31,134 operations (24%) and according to another active method for 32,589 operations (25%), and passive PDS was performed for 68,075 operations (52%). Relatively more SSIs were recorded after discharge for cases in which PDS was performed according to a recommended method (43%), compared with cases in which another active PDS method was used (30%) and cases in which passive PDS was used (25%). The highest rate of SSI after discharge was found for appendectomy (79% of operations), followed by knee prosthesis surgery (64%), mastectomy (61%), femoropopliteal or femorotibial bypass (53%), and abdominal hysterectomy (53%). CONCLUSIONS: For certain surgical procedures, most SSIs develop after discharge. SSI rates will be underestimated if no PDS is performed. We believe we have found a feasible and sensitive method for PDS that, if patients routinely return to the hospital for a postdischarge follow-up visit, might be suitable for use internationally.DOI
10.1086/506403PMID
16874640ae974a485f413a2113503eed53cd6c53
10.1086/506403
Scopus Count
Collections
Related articles
- Procedure-specific surgical site infection rates and postdischarge surveillance in Scotland.
- Authors: Reilly J, Allardice G, Bruce J, Hill R, McCoubrey J
- Issue date: 2006 Dec
- Impact of postdischarge surveillance on surgical-site infection rates for coronary artery bypass procedures.
- Authors: Avato JL, Lai KK
- Issue date: 2002 Jul
- Surveillance for surgical site infection after hospital discharge: a surgical procedure-specific perspective.
- Authors: Prospero E, Cavicchi A, Bacelli S, Barbadoro P, Tantucci L, D'Errico MM
- Issue date: 2006 Dec
- Impact of postdischarge surveillance on the rate of surgical site infection after orthopedic surgery.
- Authors: Huotari K, Lyytikäinen O, Hospital Infection Surveillance Team
- Issue date: 2006 Dec
- Post-discharge surveillance (PDS) for surgical site infections: a good method is more important than a long duration.
- Authors: Koek MB, Wille JC, Isken MR, Voss A, van Benthem BH
- Issue date: 2015 Feb 26