HOSPITAL INFECTION IN SURGICAL DEPARTMENTS AT HUE UNIVERSITY HOSPITAL IN 2015

2016 ◽  
pp. 39-43
Author(s):  
Dinh Binh Tran ◽  
Dinh Tan Tran
Keyword(s):  
Surgical Site Infection ◽  
Surgical Intervention ◽  
University Hospital ◽  
Hospital Infections ◽  
Site Infection ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
Hospital Acquired Infections ◽  
Tract Infections ◽  
Hospital Acquired

Objective: To study nosocomial infections and identify the main agents causing hospital infections at Hue University Hospital. Subjects and Methods: A cross-sectional descriptive study of 385 patients with surgical interventions. Results: The prevalence of hospital infections was 5.2%, surgical site infection was the most common (60%), followed by skin and soft tissue infections (35%), urinary tract infections (5%). Surgical site infection (11.6%) in dirty surgery. There were 3 bacterial pathogens isolated, including Staphylococcus aureus (50%), Pseudomonas aeruginosa and Enterococcusspp (25%). Conclusion: Surgical site infection was high in hospital-acquired infections. Key words: hospital infections, surgical intervention, surgical site infection, bacteria

scholarly journals Surveillance of surgical site infection in orthopaedic surgery is useful in tackling hospital-acquired infections in England

2005 ◽  
Vol 10 (46) ◽  
Author(s):  
J Wilson
Keyword(s):  
Surgical Site Infection ◽  
Orthopaedic Surgery ◽  
Site Infection ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

Surveillance of surgical site infection (SSI) in orthopaedic surgery became mandatory in England in April 2004

scholarly journals Surgical site infection prevention: An analysis of compliance with good practice in a teaching hospital

2017 ◽  
Vol 18 (6) ◽  
pp. 301-306 ◽  
Author(s):  
Adriana Cristina de Oliveira ◽  
Camila Sarmento Gama
Keyword(s):  
Surgical Site Infection ◽  
Operating Room ◽  
Infection Prevention ◽  
Good Practice ◽  
Critical Role ◽  
University Hospital ◽  
Site Infection ◽  
Cross Sectional ◽  
Belo Horizonte ◽  
Surgical Teams

Background: Surgical teams play a critical role in reducing surgery-related risks during preoperative and intraoperative phases. Aim: To analyse the preoperative and intraoperative practices adopted by surgical teams in surgical site infections prevention. Methods: This was a cross-sectional study conducted during April–September 2013 in a large university hospital in Belo Horizonte, Minas Gerais, Brazil. It was conducted through observation of the surgical practice during preoperative and intraoperative phases of procedures used by a gastroenterological, cardiovascular and paediatric surgical team. Results: A total of 100 surgeries were monitored. Hair removal was performed for 20% of the patients inside the operating room by professionals using clippers in 65% of operations. The antimicrobial agent of choice was appropriate/satisfactory in 62% of the operations and administered up to 60 min before surgical incision in 90.3% of the cases. The operating room door was kept closed in 4% of these procedures. Discussion: Some preoperative measures for surgical site infection prevention were not adhered to by the professionals who were monitored in this study. It is recommended that surgical teams undergo professional surveillance and training to highlight the necessity and importance of implementing measures to improve the quality of care provided to surgical patients.

Surveillance for Hospital-Acquired Infections on Surgical Wards in a Dutch University Hospital

2003 ◽  
Vol 24 (8) ◽  
pp. 584-590 ◽  
Author(s):  
Titia E. M. Kamp-Hopmans ◽  
Hetty E. M. Blok ◽  
Annet Troelstra ◽  
Ada C. M. Gigengack-Baars ◽  
Annemarie J. L. Weersink ◽  
...  
Keyword(s):  
Medical Center ◽  
University Hospital ◽  
Incidence Density ◽  
Gynecologic Surgery ◽  
Prospective Surveillance ◽  
Oncologic Surgery ◽  
Prevalence Survey ◽  
Hospital Acquired Infections ◽  
Tract Infections ◽  
Hospital Acquired

AbstractObjectives:To determine incidence rates of hospital-acquired infections and to develop preventive measures to reduce the risk of hospital-acquired infections.Methods:Prospective surveillance for hospital-acquired infections was performed during a 5-year period in the wards housing general and vascular, thoracic, orthopedic, and general gynecologic and gynecologic-oncologic surgery of the University Medical Center Utrecht, the Netherlands. Data were collected from patients with and without infections, using criteria of the Centers for Disease Control and Prevention.Results:The infection control team recorded 648 hospital-acquired infections affecting 550 (14%) of 3,845 patients. The incidence density was 17.8 per 1,000 patient-days. Patients with hospital-acquired infections were hospitalized for 19.8 days versus 7.7 days for patients without hospital-acquired infections.Prolongation of stay among patients with hospital-acquired infections may have resulted in 664 fewer admissions due to unavailable beds. Different specialties were associated with different infection rates at different sites, requiring a tailor-made approach. Interventions were recommended for respiratory tract infections in the thoracic surgery ward and for surgical-site infections in the orthopedic and gynecologic surgery wards.Conclusions:Surveillance in four surgical wards showed that each had its own prominent infection, risk factors, and indications for specific recommendations. Because prospective surveillance requires extensive resources, we considered a modified approach based on a half-yearly point-prevalence survey of hospital-acquired infections in all wards of our hospital. Such surveillance can be extended with procedure-specific prospective surveillance when indicated.

scholarly journals SUPERFICIAL SURGICAL SITE INFECTION IN EMERGENCY ABDOMINAL SURGICAL PROCEDURES. A REANALYSIS OF MICROBIOLOGY AND ANTIBIOTIC SENSITIVITY

1969 ◽  
Vol 5 (1) ◽  
pp. 617-620
Author(s):  
ZEESHAN SABOOR AHMED ◽  
MUHAMMAD IFTIKHAR ◽  
IRFANUL ISLAM NASIR ◽  
MUHAMMAD KHAN ◽  
NAYAB SARWAR
Keyword(s):  
Abdominal Surgery ◽  
Surgical Site Infection ◽  
Wound Infection ◽  
Antibiotic Sensitivity ◽  
Site Infection ◽  
Cross Sectional ◽  
The Common ◽  
Clean Contaminated ◽  
Hospital Acquired ◽  
Emergency Abdominal Surgery

BACKGROUND: Surgical site infection is regarded as the most common hospital acquired infectionsamong the surgical patients and carries a significant impact on patient’s morbidity and mortality.OBJECTIVES: The aims of this study were to know about the common pathogens causing surgical siteinfection after emergency abdominal surgery and their sensitivity to various antibiotic groups.METHODOLOGY: This was a prospective cross sectional observational study of 6 months duration,carried out from July 2012 to December 2012 in the department of general surgery, Hayatabad MedicalComplex, Peshawar. All the patients who underwent emergency abdominal surgery during this periodwere included in the study. Wounds were classified as clean, clean contaminated, contaminated anddirty. Superficial Surgical site infection was diagnosed using the criteria set by the Center for DiseaseControl and classified according to the Southampton scoring system.RESULTS: A total of 256 emergency abdominal surgeries were performed. Out of these, 37 patientsdeveloped wound infection, showing that 14.45% of the patients undergoing emergency abdominalsurgery developed wound infection. The culture report suggested E.coli as the most common pathogenaccounting for 19(51.35%) cases of SSI followed by pseudomonas, Staph.aureus and klebsiellaaccounting for 8(21.62%) cases, 6(16.21%) cases and 1(2.7%) cases respectively. No growth wasobtained in 2(5.4%) cases and mix growth was obtained in 1(2.7%).CONCLUSION: Gram negative flora of the gut is responsible for SSI in emergency surgicalprocedures and this flora is most sensitive to pipercillin/tazobactam, cefoparazone/sulbactam andmeropenam.KEY WORDS: Surgical site infection, pathogen, emergency abdominal surgery

scholarly journals Attributable Costs of Surgical Site Infection and Endometritis after Low Transverse Cesarean Delivery

2010 ◽  
Vol 31 (3) ◽  
pp. 276-282 ◽  
Author(s):  
Margaret A. Olsen ◽  
Anne M. Butler ◽  
Denise M. Willers ◽  
Gilad A. Gross ◽  
Barton H. Hamilton ◽  
...  
Keyword(s):  
Propensity Score ◽  
Cesarean Section ◽  
Surgical Site Infection ◽  
Hospital Cost ◽  
Total Hospital Cost ◽  
Matched Pairs ◽  
Site Infection ◽  
Total Hospital ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

Background.Accurate data on costs attributable to hospital-acquired infections are needed to determine their economic impact and the cost-benefit of potential preventive strategies.Objective.To determine the attributable costs of surgical site infection (SSI) and endometritis (EMM) after cesarean section by means of 2 different methods.Design.Retrospective cohort.Setting.Barnes-Jewish Hospital, a 1,250-bed academic tertiary care hospital.Patients.There were 1,605 women who underwent low transverse cesarean section from July 1999 through June 2001.Methods.Attributable costs of SSI and EMM were determined by generalized least squares (GLS) and propensity score matched-pairs by means of administrative claims data to define underlying comorbidities and procedures. For the matched-pairs analyses, uninfected control patients were matched to patients with SSI or with EMM on the basis of their propensity to develop infection, and the median difference in costs was calculated.Results.The attributable total hospital cost of SSI calculated by GLS was $3,529 and by propensity score matched-pairs was $2,852. The attributable total hospital cost of EMM calculated by GLS was $3,956 and by propensity score matched-pairs was $3,842. The majority of excess costs were associated with room and board and pharmacy costs.Conclusions.The costs of SSI and EMM were lower than SSI costs reported after more extensive operations. The attributable costs of EMM calculated by the 2 methods were very similar, whereas the costs of SSI calculated by propensity score matched-pairs were lower than the costs calculated by GLS. The difference in costs determined by the 2 methods needs to be considered by investigators who are performing cost analyses of hospital-acquired infections.

EFFICACY OF ANTIBIOTICS PROPHYLAXIS IN PATIENTS WITH LUMBAR DISC HERNIATION UNDERGOING LUMBAR DISCETOMY

2018 ◽  
Vol 8 (5) ◽  
pp. 14-19
Author(s):  
Tri Truong Van ◽  
Tri Tran Duc Duy ◽  
Khai Vo Le Quang
Keyword(s):  
Surgical Site Infection ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
University Hospital ◽  
Site Infection ◽  
Surgical Wound ◽  
A Prospective Study ◽  
Length Of Hospitalization

Introduction: Surgical wound infection in developing coutries is about 3%. Antibiotics prophylaxis may help to reduce the surgical site infection. The objective of this study was to evaluate the efficacy of antibiotics prophylaxis in patients with lumbar disc herniation who were treated with lumbar discectomy at Hue University hospital. Materials and Methods: A prospective study was conducted at Hue University hospital from March 2015 to May 2018 on 54 patients with lumbar disc herniation who were used antibiotics prophylaxis when undergoing discectomy. Results: The infection rate in our study was 0%. Antibiotics prophylaxis reduced the length of hospitalization as well as the medical cost. Conclusion: Antibiotics prophylaxis was effective in preventing surgical site infection despite the fact that the condition of operating rooms did not meet the standard rules. Key words: prophylaxis antibiotics, lumbar disc herniation

Hospital-acquired infection awareness and control practices among healthcare staff: an evaluation

2021 ◽  
Vol 27 (11) ◽  
pp. 296-302
Author(s):  
Pallavi Saraswat ◽  
Rajnarayan R Tiwari ◽  
Muralidhar Varma ◽  
Sameer Phadnis ◽  
Monica Sindhu
Keyword(s):  
Infection Control ◽  
Healthcare Facility ◽  
Hospital Staff ◽  
Control Measures ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Control Policies ◽  
Hospital Acquired Infection ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

Background/Aims Hospital-acquired infections pose a risk to the wellbeing of both patients and staff. They are largely preventable, particularly if hospital staff have adequate knowledge of and adherence to infection control policies. This study aimed to assess the knowledge, awareness and practice of hospital-acquired infection control measures among hospital staff. Methods A cross-sectional study was conducted among 71 staff members in a tertiary healthcare facility in Karnataka, India. The researchers distributed a questionnaire containing 33 questions regarding knowledge of hospital-acquired infections, awareness of infection control policies and adherence to control practices. The results were analysed using the Statistical Package for the Social Sciences, version 16.0 and a Kruskal–Wallis test. Results Respondents' mean percentage score on the knowledge of hospital-acquired infections section was 72%. Their mean percentage scores on the awareness and practice of infection prevention measures sections were 82% and 77% respectively. Doctors and those with more years of experience typically scored higher. Conclusion The respondents had an acceptable level of knowledge, awareness and adherence to infection control practices. However, continued training is essential in the prevention of hospital-acquired infections. The majority of the respondents stated that they were willing to undertake training in this area, and this opportunity should be provided in order to improve infection control quality.

scholarly journals Identification of post-cesarean surgical site infection: nursing consultation

2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1395-1403
Author(s):  
Marcia Regina Cunha ◽  
Maria Clara Padoveze ◽  
Célia Regina Maganha e Melo ◽  
Lucia Yasuko Izumi Nichiata
Keyword(s):  
Quality Of Service ◽  
Health Status ◽  
Surgical Site Infection ◽  
Medical Records ◽  
Signs And Symptoms ◽  
Site Infection ◽  
Cross Sectional ◽  
Cesarean Deliveries ◽  
The City

ABSTRACT Objective: To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care. Method: Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo. Results: 89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection. Conclusion: Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.

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