A review of post-operative infections in veterinary orthopaedic surgery

2008 ◽  
Vol 21 (02) ◽  
pp. 99-105 ◽  
Author(s):  
J. S. Weese
Keyword(s):  
Infection Control ◽  
Orthopaedic Surgery ◽  
Patient Management ◽  
Surgical Site Infections ◽  
Control Program ◽  
Level Of Care ◽  
Site Infection ◽  
Infection Control Program ◽  
Inherent Risk ◽  
Infection Surveillance

SummarySurgical site infections are an inherent risk in orthopaedic surgery and many of the infections that develop are likely to be non-preventable. However, a variety of measures can be undertaken to reduce the risk and impact of surgical site infections. The development and implementation of an infection control program, including surgical site infection surveillance, can be an important tool for patient management. All veterinary practices should have some form of infection control program in order to address surgical site infections, among other issues, and to provide the optimal and expected level of care.

scholarly journals The scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study

2020 ◽  
Author(s):  
Yeon Su Jeong ◽  
Jin Hwa Kim ◽  
Seungju Lee ◽  
So Young Lee ◽  
Sun Mi Oh ◽  
...  
Keyword(s):  
Infection Control ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Essential Element ◽  
Surgical Site Infections ◽  
Control Program ◽  
Real Field ◽  
Care Hospital ◽  
Infection Control Program ◽  
Functional Coverage

Abstract Activities of infection control and prevention are diverse and complicated. Regular and well-organized inspection of infection control is essential element of infection control program. The aim of study was to identify strong points and limitations of weekly infection control rounding (ICTR) in an acute care hospital. We conducted infection control rounding weekly to improve the compliance of infection control in the real field at a 734-bed academic hospital in Republic of Korea between January, 18, 2018 to December, 26, 2018. We investigated the functional coverage of a weekly ICTR. The result of the rounding are categorized well maintained, improvement is needed, long-term support such as space or manpower is needed, not applicable and could not observed. ICTR visited median 7 times [interquartile range (IQR) 6–7 times] per department. When visiting a department, ICTR observed median 16 practices (IQR 12–22). There were 7452 results of practices. Of those results, 75% were monitored properly, 22% were not applicable, and 4% were difficult-to-observe. Among applicable practice results, the most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections and pneumonia, injection safety practices, and strategies to prevent occupationally-acquired infections. The ICTR was able to maintain regular visits to each department; however, additional observation is necessary to eliminate blind spots.* These authors contributed equally

Results of a Comprehensive Infection Control Program for Reducing Surgical-Site Infections in Coronary Artery Bypass Surgery

1999 ◽  
Vol 20 (8) ◽  
pp. 533-538 ◽  
Author(s):  
Samuel J. McConkey ◽  
Paul B. L'Ecuyer ◽  
Denise M. Murphy ◽  
Terry L. Leet ◽  
Thoralf M. Sundt ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Infection Control ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Surgical Site Infections ◽  
Control Program ◽  
Care Hospital ◽  
Infection Rates ◽  
Infection Control Program ◽  
Cabg Surgery

AbstractObjective:To evaluate the efficacy of a comprehensive infection control program on the reduction of surgical-site infections (SSIs) following coronary artery bypass graft (CABG) surgery.Design:Prospective cohort study.Setting:1,000-bed tertiary-care hospital.Patients:Persons undergoing CABG with or without concomitant valve surgery from April 1991 through December 1994.Interventions:Prospective surveillance, quarterly reporting of SSI rates, chlorhexidene showers, discontinuation of shaving, administration of antibiotic prophylaxis in the holding area, elimination of ice baths for cooling of cardioplegia solution, limitation of operating room traffic, minimization of flash sterilization, and elimination of postoperative tap-water wound bathing for 96 hours. Logistic regression models were fitted to assess infection rates over time, adjusting for severity of illness, surgeon, patient characteristics, and type of surgery.Results:2,231 procedures were performed. A reduction in infection rates was noted at all sites. The rate of deep chest infections decreased from 2.6% in 1991 to 1.6% in 1994. Over the same period, the rate of leg infections decreased from 6.8% to 2.7%, and of all SSI from 12.4% to 8.9%. The adjusted odds ratio (OR) for all SSIs for the end of 1994 compared to December 31,1991, was 0.37 (95% confidence interval [CI95], 0.22-0.63). For deep chest and mediastinal infections, the adjusted OR comparing the same period was 0.69 (CI95, 0.28-1.71).Conclusions:We observed significant reductions in SSI rates of deep and superficial sites in CABG surgery following implementation of a comprehensive infection control program. These differences remained significant when adjusted for potential confounding covariables

Nosocomial Infection Surveillance in the United States: Historical Perspective

1987 ◽  
Vol 8 (11) ◽  
pp. 450-453 ◽  
Author(s):  
James M. Hughes
Keyword(s):  
United States ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Nosocomial Infections ◽  
Control Program ◽  
The United States ◽  
National Database ◽  
Surveillance Program ◽  
Infection Control Program ◽  
Infection Surveillance

AbstractDuring the past 30 years, many important strides have been made in the prevention of nosocomial infections in the United States. Infection control programs have been established in hospitals throughout the country. Techniques for surveillance of nosocomial infections have been developed and utilized extensively. Results of the Study on the Efficacy of Nosocomial Infection Control (SENIC Project) and the experience with surveillance of surgical wound infections have documented the fact that surveillance is an integral component of an effective nosocomial infection control program. In recent years, a number of approaches to nosocomial infection surveillance have been proposed as alternatives to comprehensive or hospital-wide surveillance. In 1986, four surveillance components were introduced in the National Nosocomial Infections Surveillance (NNIS) system to provide participating institutions the option to tailor their surveillance program to their local needs and priorities while continuing to provide information to the national database on nosocomial infections. Infection control practitioners currently face a challenge to develop more meaningful nosocomial infection rates to permit identification of new infection control priorities for their institution and to assess progress toward specific prevention objectives.

Surgical site infection rates following cardiac surgery: The impact of a 6-year infection control program

2005 ◽  
Vol 33 (8) ◽  
pp. 450-454 ◽  
Author(s):  
Renato Finkelstein ◽  
Galit Rabino ◽  
Tania Mashiah ◽  
Yaron Bar-El ◽  
Zvi Adler ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Infection Control ◽  
Surgical Site Infection ◽  
Control Program ◽  
Site Infection ◽  
Infection Rates ◽  
Infection Control Program ◽  
The Impact

scholarly journals Reduction of deep surgical site infections in cardiac surgery by introducing a multimodal infection control program

Critical Care ◽  
2015 ◽  
Vol 19 (Suppl 1) ◽  
pp. P79
Author(s):  
A Rutten ◽  
JP Ory ◽  
L Jamaer ◽  
A Van Assche ◽  
J Dubois
Keyword(s):  
Cardiac Surgery ◽  
Infection Control ◽  
Surgical Site Infections ◽  
Control Program ◽  
Infection Control Program

USE OF AN ELECTRONIC DATA WAREHOUSE TO ENHANCE CARDIAC SURGICAL SITE SURVEILLANCE AT A LARGE CANADIAN CENTRE

2008 ◽  
Vol 31 (4) ◽  
pp. 21 ◽  
Author(s):  
G W Rose ◽  
V R Roth ◽  
K N Suh ◽  
M Taljaard ◽  
C Van Walraven ◽  
...  
Keyword(s):  
Infection Control ◽  
Surgical Site Infection ◽  
Data Warehouse ◽  
Stepwise Logistic Regression ◽  
Site Infection ◽  
Electronic Data ◽  
Trigger Mechanism ◽  
Trigger Tool ◽  
Infection Surveillance ◽  
Trigger Mechanisms

Background/Purpose: Surgical site infection surveillance to determineincidence is a key infection control activity. Case detection is labour-intensive, therefore most infection control programs use manual or simple electronic mechanisms to “trigger” chart review. However, such “trigger” mechanisms are also labour-intensive, and often of poor specificity. Our objective is to develop a complex trigger mechanism using data from an electronic data warehouse, to improve specificity of surveillance of surgical site infection compared to current trigger mechanisms. Methods: We will derive an electronic trigger tool for cardiac surgical site infection surveillance using a nested case-control design, among a cohort of all patients undergoing coronary artery bypass grafting, cardiac valve repairor replacement, or heart transplant at the University of Ottawa Heart Institute, from July 1 2004 to June 30 2007. We will perform a systematic literature review to identify potential trigger factors to include in the model, then construct the trigger tool by backwards stepwise logistic regression. The best-fit model will be used to calculate the probability of surgical site infection. We will select the threshold probability to use in surveillance by visual inspection of receiver-operator-characteristic curves. The accuracy of this electronic trigger mechanism will be compared to pre-existing manual and simple electronic mechanisms using relative true positive ratios and relative false positive ratios. Results/Conclusions: We have selected 200 cases of surgical site infection and 541 controls from among 3744 procedures performed during the study period. As of the date ofthis abstract we are still undertaking the systematic review.

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