American Society of Anesthesiology Scoring Discrepancies Affecting the National Nosocomial Infection Surveillance System: Surgical-Site-Infection Risk Index Rates

1997 ◽  
Vol 18 (4) ◽  
pp. 246-247 ◽  
Author(s):  
Charles Salemi ◽  
Diana Anderson ◽  
Douglas Flores
Keyword(s):  
Nosocomial Infection ◽  
Surgical Site Infection ◽  
Surveillance System ◽  
Risk Index ◽  
Infection Risk ◽  
National Nosocomial Infection Surveillance ◽  
Site Infection ◽  
Infection Surveillance ◽  
American Society

Surveillance for Surgical Site Infection (SSI) After Neurosurgery: Influence of the US or Brest (France) National Nosocomial Infection Surveillance Risk Index on SSI Rates

2008 ◽  
Vol 29 (11) ◽  
pp. 1084-1087 ◽  
Author(s):  
Claire Lietard ◽  
Véronique Thébaud ◽  
Gérard Besson ◽  
Benoist Lejeune
Keyword(s):  
Nosocomial Infection ◽  
Surgical Site Infection ◽  
Risk Index ◽  
Surveillance Data ◽  
National Nosocomial Infection Surveillance ◽  
Site Infection ◽  
Local Operation ◽  
Infection Surveillance ◽  
Neurosurgical Patients ◽  
The Us

A total of 5,628 neurosurgical patients were observed in France to assess the occurrence of surgical site infection (SSI). Their risk of SSI was defined by calculating both the US National Nosocomial Infection Surveillance and the Brest National Nosocomial Infection Surveillance risk indexes. This study compares SSI rates stratified according to either the US or Brest (France) National Nosocomial Infection Surveillance risk index. The SSI rates were correlated with National Nosocomial Infection Surveillance data involving only local operation durations.

Validation of Surgical Site Infection Surveillance in The Netherlands

2007 ◽  
Vol 28 (1) ◽  
pp. 36-41 ◽  
Author(s):  
J. Manniën ◽  
A. E. van der Zeeuw ◽  
J. C. Wille ◽  
S. van den Hof
Keyword(s):  
Surgical Site Infection ◽  
Predictive Value ◽  
Medical Records ◽  
Surveillance System ◽  
Structured Interview ◽  
Surveillance Data ◽  
National Nosocomial Infection Surveillance ◽  
Site Infection ◽  
Infection Surveillance

Objectives.To describe how continuous validation of data on surgical site infection (SSI) is being performed in the Dutch National Nosocomial Infection Surveillance System (Preventie Ziekenhuisinfecties door Surveillance [PREZIES]), to assess the quality and accuracy of the PREZIES data, and to present the corresponding outcomes of the assessment.Design.Mandatory, 1-day on-site validation visit to participating hospitals every 3 years. The process of surveillance, including the quality of the method of data collection, is validated by means of a structured interview. The use of SSI criteria is validated by review of medical records, with the judgment of the validation team as the criterion standard.Setting.Hospitals participating in PREZIES.Results.During 1999-2004, the validation team visited 40 hospitals and reviewed 859 medical charts. There was no deviation between reports of SSI by infection control professionals and findings by the PREZIES validation team at 30 hospitals and 1 deviation in each of 10 hospitals; the positive predictive value was 0.97, and the negative predictive value was 0.99. The validation team often gave advice to the hospital, aimed at perfecting the process of surveillance. On 2 occasions, data were removed from the PREZIES database after the validation visit revealed deviations from the SSI surveillance protocol that could have resulted in nonrepresentative SSI rate data.Conclusions.PREZIES is confident that the assembled Dutch SSI surveillance data are reliable and robust and are sufficiently accurate to be used as a reference for interhospital comparison. PREZIES will continue performing on-site validation visits, to improve the process of surveillance and ensure the reliability of the surveillance data.

scholarly journals Surgical site infections in adults patients undergoing of clean and contaminated surgeries at a university Brazilian hospital

2010 ◽  
Vol 47 (4) ◽  
pp. 383-387 ◽  
Author(s):  
Maria de Lourdes Gonçalves Santos ◽  
Renata Rezende Teixeira ◽  
Augusto Diogo-Filho
Keyword(s):  
Surgical Site Infection ◽  
Risk Index ◽  
Surgical Site Infections ◽  
Infection Risk ◽  
University Hospital ◽  
Site Infection ◽  
Global Index ◽  
Post Discharge ◽  
Infection Surveillance

CONTEXT: Surgical site infections are a risk inherent to surgical procedures, especially after digestive surgeries. They occur up to 30 days after surgery, or up to a year later if a prosthesis is implanted. The Surgical-site Infection Risk Index (SIRI), NISS (National Nosocomial Infection Surveillance) methodology, is a method to evaluate the risk of surgical site infections, which takes into account the potential contamination of the surgery, the patient's health status and surgery duration. OBJECTIVES: To evaluate the correlation between the surgical-site infection risk index score on the 1st day postoperatively, and the development of surgical site infection up to 30 days postoperatively. METHODS: The postoperative surgical site infections (NNIS) was evaluated by following-up in hospital and as an outpatient. The patients followed prospectively were those submitted to elective surgeries, clean (hernioplasties) or contaminated (colorretal), performed by conventional approach at a university hospital, during the period from June 2007 to August 2008. The mean age of the patients was 55.5 years, 133 (65.5%) male; 120 (59.1%) submitted to clean surgeries and 83 (40.9%) contaminated. RESULTS: The global index of surgical site infections was 10.3%; 10 (8.3%) in clean procedures and 111(3.2%) in contaminated ones. Four (19.1%) of the surgical site infections were diagnosed at the time of hospitalization and 17 (80.9%) at post-discharge follow-up. Twelve (57.1%) of the surgical site infections were superficial, 2 (9.5%) deep and 7 (33.3%) at a specific site. Of these, 5 (6.6%) were in patients classified as SIRI 0 (76); 9 (15%) for SIRI 1 (60); 5 (9.1%) for SIRI 2 (55) and 2 (16.7%) for SIRI 3. CONCLUSION: The global index of surgical site infections and its incidence among contaminated procedures are within the expected limits. On the other hand according to SIRI, the surgical site infection indexes are above the expected standards both for the clean and for the contaminated procedures.

Developing a Surgical Site Infection Surveillance System Based on Hospital Unstructured Clinical Notes and Text Mining

2020 ◽  
Vol 21 (8) ◽  
pp. 716-721 ◽  
Author(s):  
Marta Luisa Ciofi Degli Atti ◽  
Fabrizio Pecoraro ◽  
Simone Piga ◽  
Daniela Luzi ◽  
Massimiliano Raponi
Keyword(s):  
Text Mining ◽  
Surgical Site Infection ◽  
Surveillance System ◽  
Site Infection ◽  
Clinical Notes ◽  
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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