Surgical site infection rates in 16 cities in Turkey: findings of the International Nosocomial Infection Control Consortium (INICC) - 04/01/15
, Alper Sener, MD d, Cengiz Uzun, MD e, Gunes Senol, MD f, Gulden Ersoz, MD g, Tuna Demirdal, MD h, Fazilet Duygu, MD i, Ayse Willke, MD j, Fatma Sirmatel, MD k, Nefise Oztoprak, MD l, Iftihar Koksal, MD m, Oral Oncul, MD n, Yunus Gurbuz, MD o, Ertugrul Güçlü, MD p, Huseyin Turgut, MD q, Ata Nevzat Yalcin, MD r, Davut Ozdemir, MD s, Tanil Kendirli, MD t, Turan Aslan, MD u, Saban Esen, MD a, Fatma Ulger, MD a, Ahmet Dilek, MD a, Hava Yilmaz, MD a, Mustafa Sunbul, MD a, Ilhan Ozgunes, MD b, Gaye Usluer, MD b, Metin Otkun, MD d, Ali Kaya, MD g, Necdet Kuyucu, MD g, Zeynep Kaya, MD g, Meliha Meric, MD j, Emel Azak, MD j, Gürdal Yýlmaz, MD m, Selçuk Kaya, MD m, Hülya Ulusoy, MD m, Tuncer Haznedaroglu, MD n, Levent Gorenek, MD n, Ali Acar, MD n, Ediz Tutuncu, MD o, Oguz Karabay, MD p, Gulsume Kaya, MD p, Suzan Sacar, MD q, Hülya Sungurtekin, MD q, Doğaç Uğurcan, MD q, Ozge Turhan, MD r, Sehnaz Kaya, MD r, Eylul Gumus, MD r, Oguz Dursun, MD r, Mehmet Faruk Geyik, MD s, Ahmet Şahin, MD s, Selvi Erdogan, RN s, Erdal Ince, MD t, Adem Karbuz, MD t, Ergin Çiftçi, MD t, Nevin Taşyapar, MD t, Melek Güneş, MD tAbstract |
Background |
Surgical site infections (SSIs) are a threat to patient safety; however, there were no available data on SSI rates stratified by surgical procedure (SP) in Turkey.
Methods |
Between January 2005 and December 2011, a cohort prospective surveillance study on SSIs was conducted by the International Nosocomial Infection Control Consortium (INICC) in 20 hospitals in 16 Turkish cities. Data from hospitalized patients were registered using the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) methods and definitions for SSIs. Surgical procedures (SPs) were classified into 22 types according to International Classification of Diseases, Ninth Revision criteria.
Results |
We recorded 1879 SSIs, associated with 41,563 SPs (4.3%; 95% confidence interval, 4.3-4.7). Among the results, the SSI rate per type of SP compared with rates reported by the INICC and CDC NHSN were 11.9% for ventricular shunt (vs 12.9% vs 5.6%); 5.3% for craniotomy (vs 4.4% vs 2.6%); 4.9% for coronary bypass with chest and donor incision (vs 4.5 vs 2.9); 3.5% for hip prosthesis (vs 2.6% vs 1.3%), and 3.0% for cesarean section (vs 0.7% vs 1.8%).
Conclusions |
In most of the 22 types of SP analyzed, our SSI rates were higher than the CDC NHSN rates and similar to the INICC rates. This study advances the knowledge of SSI epidemiology in Turkey, allowing the implementation of targeted interventions.
Le texte complet de cet article est disponible en PDF.Key Words : Hospital infection, Nosocomial infection, Health care–associated infection, Surgical wound infection, Developing countries
Plan
| Funding for the activities carried out at INICC headquarters is provided by the corresponding author and the Foundation to Fight against Nosocomial Infections. |
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| Conflicts of interest: None to report. |
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| Author contributions: V.D.R. was responsible for study conception and design; software development; data assembly, analysis, and interpretation; epidemiologic analysis; statistical analysis; administrative, technical, and logistical support; and drafting of the manuscript. All authors were involved in provision of study patients, collection of data, critical revision of the manuscript for important intellectual content, and final approval of the manuscript. |
Vol 43 - N° 1
P. 48-52 - janvier 2015 Retour au numéro
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