Surgical site infection rates in 16 cities in Turkey: findings of the International Nosocomial Infection Control Consortium (INICC)

被引：20

作者：

Leblebicioglu, Hakan ^{[1
]}

Erben, Nurettin ^{[2
]}

Rosenthal, Victor D. ^{[3
]}

Sener, Alper ^{[4
]}

Uzun, Cengiz ^{[5
]}

Senol, Gunes ^{[6
]}

Ersoz, Gulden ^{[7
]}

Demirdal, Tuna ^{[8
]}

Duygu, Fazilet ^{[9
]}

Willke, Ayse ^{[10
]}

Sirmatel, Fatma ^{[11
]}

Oztoprak, Nefise ^{[12
]}

Koksal, Iftihar ^{[13
]}

Oncul, Oral ^{[14
]}

Gurbuz, Yunus ^{[15
]}

Guclu, Ertugrul ^{[16
]}

Turgut, Huseyin ^{[17
]}

Yalcin, Ata Nevzat ^{[18
]}

Ozdemir, Davut ^{[19
]}

Kendirli, Tanil ^{[20
]}

Aslan, Turan ^{[21
]}

Esen, Saban ^{[1
]}

Ulger, Fatma ^{[1
]}

Dilek, Ahmet ^{[1
]}

Yilmaz, Hava ^{[1
]}

Sunbul, Mustafa ^{[1
]}

Ozgunes, Ilhan ^{[2
]}

Usluer, Gaye ^{[2
]}

Otkun, Metin ^{[4
]}

Kaya, Ali ^{[7
]}

Kuyucu, Necdet ^{[7
]}

Kaya, Zeynep ^{[7
]}

Meric, Meliha ^{[10
]}

Azak, Emel ^{[10
]}

Yylmaz, Gurdal ^{[13
]}

Kaya, Selcuk ^{[13
]}

Ulusoy, Hulya ^{[13
]}

Haznedaroglu, Tuncer ^{[14
]}

Gorenek, Levent ^{[14
]}

Acar, Ali ^{[14
]}

Tutuncu, Ediz ^{[15
]}

Karabay, Oguz ^{[16
]}

Kaya, Gulsume ^{[16
]}

Sacar, Suzan ^{[17
]}

Sungurtekin, Hulya ^{[17
]}

Ugurcan, Dogac ^{[17
]}

Turhan, Ozge ^{[18
]}

Kaya, Sehnaz ^{[18
]}

Gumus, Eylul ^{[18
]}

Dursun, Oguz ^{[18
]}

机构：

[1] Ondokuz Mayis Univ, Sch Med, Dept Infect Dis, Samsun, Turkey

[2] Eskisehir Osmangazi Univ, Dept Infect Dis, Eskisehir, Turkey

[3] Int Nosocomial Infect Control Consortium, Dept Infect Dis, RA-1195 Buenos Aires, DF, Argentina

[4] Onsekiz Mart Univ Canakkale, Dept Infect Dis, Canakkale, Turkey

[5] German Hosp, Dept Infect Dis, Istanbul, Turkey

[6] Izmir Chest Dis & Chest Surg Training Hosp, Dept Infect Dis, Izmir, Turkey

[7] Mersin Univ, Fac Med, Dept Infect Dis, Mersin, Turkey

[8] Izmir Katip Celebi Univ, Dept Infect Dis, Izmir, Turkey

[9] Tokat State Hosp, Dept Infect Dis, Tokat, Turkey

[10] Kocaeli Univ, Fac Med, Dept Infect Dis, Kocaeli, Turkey

[11] Abant Izzet Baysal Univ, Fac Med, Dept Infect Dis, Bolu, Turkey

[12] Antalya Educ & Res Hosp, Dept Infect Dis, Antalya, Turkey

[13] Karadeniz Tech Univ, Dept Infect Dis, Trabzon, Turkey

[14] Gulhane Mil Med Acad, Dept Infect Dis, Istanbul, Turkey

[15] SB Diskapi Yildirim Beyazit Training & Res Hosp, Dept Infect Dis, Ankara, Turkey

[16] Sakarya Univ Educ & Res Hosp, Dept Infect Dis, Sakarya, Turkey

[17] Pamukkale Univ, Fac Med, Dept Infect Dis, Denizli, Turkey

[18] Akdeniz Univ, Dept Infect Dis, TR-07058 Antalya, Turkey

[19] Duzce Univ, Sch Med, Dept Infect Dis, Duzce, Turkey

[20] Ankara Univ, Sch Med, Dept Infect Dis, TR-06100 Ankara, Turkey

[21] Bezmialem Vakif Univ Sch Med Hosp, Dept Infect Dis, Istanbul, Turkey

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2015年 / 43卷 / 01期

关键词：

Hospital infection; Nosocomial infection; Health care-associated infection; Surgical wound infection; Developing countries; INTENSIVE-CARE UNITS; DEVICE-ASSOCIATED INFECTIONS; SOCIOECONOMIC IMPACT; DEVELOPING-COUNTRIES; ICD-9-CM;

D O I：

10.1016/j.ajic.2014.09.017

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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. Copyright (C) 2015 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：48 / 52

页数：5

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