ORGANIZATION OF EPIDEMIOLOGICAL SURVEILLANCE OF INFECTIONS IN THE FIELD OF SURGICAL INTERVENTION

Author(s):  
O.A. Orlova ◽  
V.G. Akimkin

Surgical site infections (SSI) are the most common and most expensive of the Healthcare-associated Infections (HAI). The rate of SSI in the world is 11.2 per 100 patients. One of the significant and important factors leading to ineffectiveness of prevention of SSI is a weak system of epidemiological surveillance, including insufficient completeness of accounting and registration of Healthcare-associated Infections. To conduct a full epidemiological surveillance of SSI, the complex of measures is necessary, including: conducting a prospective study, efficient microbiological monitoring of SSI pathogens, correct calculation of morbidity taking into account risk factors, organizational-methodical support of epidemiological surveillance.

2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Serin Edwin Erayil ◽  
Elise Palzer ◽  
Susan Kline

Staphylococcus aureus (SA) colonization has significant implications in healthcare-associated infections. Here we describe a prospective study conducted in pre-surgical outpatients, done with the aim of identifying demographic and clinical risk factors for SA colonization. We found younger age to be a potential predictor of SA colonization.


2012 ◽  
Vol 40 (5) ◽  
pp. 426-430 ◽  
Author(s):  
Soad Hafez ◽  
Tamer Saied ◽  
Elham Hasan ◽  
Manal Elnawasany ◽  
Eman Ahmad ◽  
...  

2015 ◽  
Vol 9 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Rodolfo Casimiro Reis ◽  
Matheus Fernandes de Oliveira ◽  
José Marcus Rotta ◽  
Ricardo Vieira Botelho

Purpose : Complications are the chief concern of patients and physicians when considering spine surgery. The authors seek to assess the incidence of complications in patients undergoing spine surgery and identify risk factors for their occurrence. Methods : Prospective study of patients undergoing spine surgery from 1 February 2013 to 1 February 2014. Epidemiological characteristics and complications during the surgical hospitalization were recorded and analyzed. Results : The sample comprised 95 patients (mean age, 59 years). Overall, 23% of patients were obese (BMI =30). The mean BMI was 25.9. Approximately 53% of patients had comorbidities. Complications occurred in 23% of cases; surgical site infections were the most common (9%). There were no significant differences between patients who did and did not develop complications in terms of age (60.6 vs 59.9 years, p = 0.71), sex (56% female vs 54% female, p = 0.59), BMI (26.6 vs 27.2, p = 0.40), or presence of comorbidities (52% vs 52.8%, p = 0.87). The risk of complications was higher among patients submitted to spine instrumentation than those submitted to non-instrumented surgery (33% vs 22%), p=0.8. Conclusion : Just over one-quarter of patients in the sample developed complications. In this study, age, BMI, comorbidities were not associated with increased risk of complications after spine surgery. The use of instrumentation increased the absolute risk of complications.


PLoS ONE ◽  
2012 ◽  
Vol 7 (12) ◽  
pp. e52342 ◽  
Author(s):  
Renata M. Daud-Gallotti ◽  
Silvia F. Costa ◽  
Thais Guimarães ◽  
Katia Grillo Padilha ◽  
Evelize Naomi Inoue ◽  
...  

2017 ◽  
Vol 58 (1) ◽  
pp. 61 ◽  
Author(s):  
José Medina-Polo ◽  
Raquel Sopeña-Sutil ◽  
Raúl Benítez-Sala ◽  
Alba Lara-Isla ◽  
Manuel Alonso-Isa ◽  
...  

2017 ◽  
Vol 4 (6) ◽  
pp. 1945
Author(s):  
Chenna Krishna Reddy Chada ◽  
Jithendra Kandati ◽  
Munilakshmi Ponugoti

Background: Among the Health care associated infections (HAI), surgical site infections (SSI) previously termed as post-operative wound infections are one of the most common HAI in low and middle income countries. Increase in SSI is associated with increased morbidity, as well as mortality due to emergence of antimicrobial resistant pathogens. Understanding the pathogens implicated in causing the SSIs and their antimicrobial sensitivity place a good role in reducing the mortality and morbidity.Methods: A prospective study was conducted at a tertiary care hospital to all the patients admitted in Department of surgery, Orthopedics and Gynecology and Obstetrics for six months from January 2016 to June 2016. The demographic data, inclusion criteria and exclusion criteria, risk factors, clinical history, laboratory data with gram stain, culture results and antibiotic sensitivity of the isolates were collected.Results: Two hundred patients were recruited in the study and the prevalence of SSI in the study was 3.83%. Patients who underwent emergency operations and diabetics were at higher risk of acquiring SSI. The most commonly isolated pathogens in the study were Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa. Pseudomonas aeruginosa was most common isolate from orthopedic cases of SSI, Escherichia coli was most common isolate from intestinal surgeries and Staphylococcus aureus from LSCS. Increased rate of isolation of MRSA and ESBL strains were observed in the study.Conclusions: Study clearly explains the various causes and risk factors associated in development of SSI. The study guides in the type of the organism isolated and possible antibiotic of choice in treatment and management of SSI. The prevalence of SSI was 3.83%, which is comparable with some of the studies and lower than many of the studies.


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