scholarly journals Predictive Validity of National Nosocomial Infection Surveillance (NNIS) and Study on the Efficacy of Nosocomial Infections (SENIC) Risk Indexes for the Incidence of Surgical Site Infections (SSI) in General Surgery at Hospital Universiti Sains Malaysia (HUSM)

2016 ◽  
Vol 19 (7) ◽  
pp. A827
Author(s):  
OH Khan ◽  
AD Zakaria ◽  
MN Hashim ◽  
SA Sulaiman ◽  
AH Khan
Keyword(s):  
Nosocomial Infection ◽  
Predictive Validity ◽  
General Surgery ◽  
Nosocomial Infections ◽  
Surgical Site Infections ◽  
National Nosocomial Infection Surveillance ◽  
Infection Surveillance

Comparing Nosocomial Infection Rates Among Surgical Intensive-Care Units: The Importance of Separating Cardiothoracic and General Surgery Intensive-Care Units

1998 ◽  
Vol 19 (4) ◽  
pp. 260-261
Author(s):  
Olivia Keita-Perse ◽  
Jonathan R. Edwards ◽  
David H. Culver ◽  
Robert P. Gaynes
Keyword(s):  
Intensive Care ◽  
Nosocomial Infection ◽  
Intensive Care Units ◽  
General Surgery ◽  
Average Length ◽  
National Nosocomial Infection Surveillance ◽  
Infection Rates ◽  
Surgical Intensive Care ◽  
Average Length Of Stay ◽  
Infection Surveillance

ABSTRACTAmong surgical intensive-care units (ICUs), we assessed differences in risk-adjusted nosocomial infection rates between cardiothoracic (CT) and general surgery ICUs, using National Nosocomial Infection Surveillance data from 1987 to 1995. Device-associated rates and average length of stay were significantly lower in CT ICUs. Comparisons of risk-adjusted nosocomial infection rates among CT ICUs should be made separately from rates from general surgery ICUs.

The Effect of Frequency of Chart Review on the Sensitivity of Nosocomial Infection Surveillance in General Surgery

1999 ◽  
Vol 20 (03) ◽  
pp. 208-212 ◽  
Author(s):  
Miguel Delgado-Rodríguez ◽  
Antonio Gómez-Ortega ◽  
Antonio Sierra ◽  
Trinidad Dierssen ◽  
Javier Llorca ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Tract Infection ◽  
Nosocomial Infection ◽  
General Surgery ◽  
Gold Standard ◽  
Surgical Site Infections ◽  
Cross Sectional ◽  
Infection Surveillance ◽  
Duration Of Infection ◽  
Severe Infections

AbstractObjective:To assess the sensitivity of different frequencies of nosocomial infection surveillance (NIS) in general surgery.Design:Data obtained with a prospective daily NIS are compared with those of hypothetical cross-sectional studies carried out with different frequencies (from one weekly visit up to one visit every other day).Setting:General surgery services at three hospitals.Main Outcome Measure:Sensitivity in the detection of nosocomial infection (overall and stratified by site), compared to a gold standard of prospective surveillance of every patient's complete medical record daily from the first day after surgery until discharge and once more after discharge.Patients:5,859 patients.Results:837 nosocomial infections were detected by the gold standard (58.8% were surgical-site infections [SSI]). The sensitivity of weekly NIS for all infections was 74.5% (95% confidence interval [CI95], 71.4%-77.5%) and varied from 65.1% (CI95, 56.2%-73.3%) for urinary tract infection to 83.3% (CI95, 62.6%-95.3%) for respiratory tract infection; it was 76.4% (CI95, 72.4%-80.1%) for SSI. As expected, sensitivity increased with the frequency of NIS. Performing NIS every 4 days improved sensitivity significantly, to 82.3% (CI95, 79.5%-84.8%) for all infections and 83.3% (CI95, 79.7%-86.5%) for SSI. One visit every other day increased the sensitivity for all infections by another 4.9%, mainly due to increased detection of urinary tract and other less severe infections.Conclusions:The sensitivity of two visits a week exceeded that of one weekly visit by approximately 8%, and one visit every other day added another 5% increase. Results varied according to duration of infection and postdischarge hospital stay.

scholarly journals Microbiological Evaluation of Nosocomial Infections by Using National Nosocomial Infection Surveillance (NNIS) System

2013 ◽  
Vol 2 (4) ◽  
pp. 217-224 ◽  
Author(s):  
Shahram Abdoli Oskouie ◽  
Mohammad Ahangarzade Rezaie ◽  
Farid Panahi ◽  
Farahnaz Firoozi ◽  
Masoud Es. Haghi ◽  
...  
Keyword(s):  
Nosocomial Infection ◽  
Nosocomial Infections ◽  
National Nosocomial Infection Surveillance ◽  
Infection Surveillance

scholarly journals Infecção de sítio cirúrgico: estudo prospectivo de 2.149 pacientes operados

1999 ◽  
Vol 26 (2) ◽  
pp. 109-113 ◽  
Author(s):  
Francisco Ney Lemos ◽  
Adriano Veras Oliveira ◽  
Maria Geciliane de Sousa
Keyword(s):  
Nosocomial Infection ◽  
Surveillance System ◽  
National Nosocomial Infection Surveillance ◽  
Infection Surveillance

A atual caracterização de infecção do sítio cirúrgico em incisional superficial, incisional profunda e órgão cavidade, em substituição à tradicional definição de "infecção de ferida operatória", associada a estratificação dos pacientes em grupos de risco de infecção cirúrgica de acordo com a metodologia NNISS (National Nosocomial Infection Surveillance System), permitiram a obtenção de taxas de infecção mais fidedignas e estudos comparativos entre instituições diferentes. Baseado nessa metodologia, o presente trabalho analisa prospectivamente 2.149 pacientes operados no Serviço de Cirurgia do Hospital Geral César Cals (HGCC)-CE, estratificados pelo IRIC (Índice de Risco de Infecção Cirúrgica) e comprova diferenças estatisticamente significativas nas taxas de infecção de sítio cirúrgico para os grupos de IRIC 0, 1,2 e 3, respectivamente de 3,2%, 7,4%, 16,6% e 20,9%. As infecções de maior gravidade ocorrem em pacientes com IRIC 3 e a vigilância pós-alta é importante, na medida em que muitas infecções somente serão diagnosticadas após a alta hospitalar.

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