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Surgical site infection rates in 4 cities in Colombia: findings of the International Nosocomial Infection Control Consortium (INICC).
Álvarez-Moreno, Carlos; Pérez-Fernández, Ana M; Rosenthal, Victor D; Quintero, Jorge; Chapeta-Parada, Edwin; Linares, Claudia; Pinilla-Martínez, Iván Francisco; Martínez-Saleg, Paula Andrea; Sierra, Patricia; Mindiola-Rochel, Andrés Eduardo.
Afiliação
  • Álvarez-Moreno C; Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogota, Colombia.
  • Pérez-Fernández AM; Clínica Central del Quindio, Armenia, Colombia.
  • Rosenthal VD; International Nosocomial Infection Control Consortium, Buenos Aires, Argentina. Electronic address: victor_rosenthal@inicc.org.
  • Quintero J; IPS Universitaria, Medellín, Colombia.
  • Chapeta-Parada E; Hospital San Vicente de Arauca, Arauca, Colombia.
  • Linares C; Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogota, Colombia.
  • Pinilla-Martínez IF; Clínica Central del Quindio, Armenia, Colombia.
  • Martínez-Saleg PA; Clínica Central del Quindio, Armenia, Colombia.
  • Sierra P; IPS Universitaria, Medellín, Colombia.
  • Mindiola-Rochel AE; Hospital San Vicente de Arauca, Arauca, Colombia.
Am J Infect Control ; 42(10): 1089-92, 2014 Oct.
Article em En | MEDLINE | ID: mdl-25278399
BACKGROUND: Surgical site infections (SSIs) are a threat to patient safety. However, there are no available data on SSI rates stratified by surgical procedure (SP) in Colombia. METHODS: From January 2008-December 2010, a prospective surveillance study on SSIs was conducted by the International Nosocomial Infection Control Consortium (INICC) in 4 hospitals in 4 cities within Colombia using the definitions of the Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN). SPs were classified into 10 types, according to ICD-9 criteria. RESULTS: We recorded 193 SSIs associated with 5,063 SPs. SSI rates per type of SP were the following, compared with INICC and CDC-NHSN rates, respectively: 9.1% for laminectomy (vs 1.7% and 1.0%), 8.3% for cardiac surgery (vs 5.6% and 1.3%), 3.9% for appendix surgery (vs 2.9% and 1.4%), 5.5% for abdominal hysterectomy (vs 2.7% and 1.6%), 4.4% for prostate surgery (vs 2.1% and 1.2%), 4.5% for spleen surgery (vs 5.6% and 2.3%), 4.3% for vaginal hysterectomy (vs 2.0% and 0.9%), and 3.0% for gallbladder surgery (vs 2.5% and 0.6%). CONCLUSIONS: Compared with CDC-NHSN rates, SSIs rates in our study hospitals were higher in most types of SPs, whereas compared with INICC, they were similar in 5 of the analyzed types, and higher in 4 types. This study represents an important advance toward knowledge of epidemiology in Colombia that will allow us to introduce targeted interventions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção da Ferida Cirúrgica Tipo de estudo: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Colombia Idioma: En Revista: Am J Infect Control Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção da Ferida Cirúrgica Tipo de estudo: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Colombia Idioma: En Revista: Am J Infect Control Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos