Cross-sectional study on surveillance of surgical site infections after vascular surgery

A. Ramcharan, J. Penders, E. Smeets, M. Rouflart, F. van Tiel, C.A. Bruggeman, C. Baeten, S.O. Breukink, J. Tordoir, E. Stobberingh

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Aims: To determine the incidence and risk factors for surgical site infections (SSI) after vascular surgery, to evaluate the Dutch safety bundle to reduce adverse complications and to analyze causative microorganisms of SSIs. Materials & methods: The 3.5-year study was divided into two periods: the control period (before bundle implementation) and intervention period (after implementation). Postdischarge surveillance was performed until 30 days after surgery. Causative microorganisms from in-hospital wound swabs were determined. SSI rates between both periods were compared and a risk analysis was carried out by performing a logistic regression. Results: The study included 1719 operations. The in-hospital SSI rate increased significantly over time. Out of 140 SSIs, 39% were diagnosed postdischarge. Risk factors were diabetes, age >60 years and operations classified as contaminated or dirty. Pseudomonas aeruginosa susceptibility was the highest for gentamicin (97%). All Staphylococcus aureus were methicillin susceptible. Conclusion: As patient demographics are important to determine the effectiveness of infection preventive measures, (postdischarge) surveillance is important for developing SSI interventions.
Original languageEnglish
Pages (from-to)1373-1380
Number of pages8
JournalFuture Microbiology
Volume8
Issue number11
DOIs
Publication statusPublished - Nov 2013

Keywords

  • antimicrobial resistance
  • bundle of care
  • infection control
  • surgical site infections
  • vascular surgery
  • WOUND INFECTIONS
  • POSTDISCHARGE SURVEILLANCE
  • CARDIOTHORACIC SURGERY
  • GRAFT INFECTIONS
  • RISK-FACTORS
  • CARE
  • PREVENTION
  • EPIDEMIOLOGY
  • PROPHYLAXIS
  • IMPROVEMENT

Cite this

Ramcharan, A. ; Penders, J. ; Smeets, E. ; Rouflart, M. ; van Tiel, F. ; Bruggeman, C.A. ; Baeten, C. ; Breukink, S.O. ; Tordoir, J. ; Stobberingh, E. / Cross-sectional study on surveillance of surgical site infections after vascular surgery. In: Future Microbiology. 2013 ; Vol. 8, No. 11. pp. 1373-1380.
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abstract = "Aims: To determine the incidence and risk factors for surgical site infections (SSI) after vascular surgery, to evaluate the Dutch safety bundle to reduce adverse complications and to analyze causative microorganisms of SSIs. Materials & methods: The 3.5-year study was divided into two periods: the control period (before bundle implementation) and intervention period (after implementation). Postdischarge surveillance was performed until 30 days after surgery. Causative microorganisms from in-hospital wound swabs were determined. SSI rates between both periods were compared and a risk analysis was carried out by performing a logistic regression. Results: The study included 1719 operations. The in-hospital SSI rate increased significantly over time. Out of 140 SSIs, 39{\%} were diagnosed postdischarge. Risk factors were diabetes, age >60 years and operations classified as contaminated or dirty. Pseudomonas aeruginosa susceptibility was the highest for gentamicin (97{\%}). All Staphylococcus aureus were methicillin susceptible. Conclusion: As patient demographics are important to determine the effectiveness of infection preventive measures, (postdischarge) surveillance is important for developing SSI interventions.",
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author = "A. Ramcharan and J. Penders and E. Smeets and M. Rouflart and {van Tiel}, F. and C.A. Bruggeman and C. Baeten and S.O. Breukink and J. Tordoir and E. Stobberingh",
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Cross-sectional study on surveillance of surgical site infections after vascular surgery. / Ramcharan, A.; Penders, J.; Smeets, E.; Rouflart, M.; van Tiel, F.; Bruggeman, C.A.; Baeten, C.; Breukink, S.O.; Tordoir, J.; Stobberingh, E.

In: Future Microbiology, Vol. 8, No. 11, 11.2013, p. 1373-1380.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - Penders, J.

AU - Smeets, E.

AU - Rouflart, M.

AU - van Tiel, F.

AU - Bruggeman, C.A.

AU - Baeten, C.

AU - Breukink, S.O.

AU - Tordoir, J.

AU - Stobberingh, E.

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AB - Aims: To determine the incidence and risk factors for surgical site infections (SSI) after vascular surgery, to evaluate the Dutch safety bundle to reduce adverse complications and to analyze causative microorganisms of SSIs. Materials & methods: The 3.5-year study was divided into two periods: the control period (before bundle implementation) and intervention period (after implementation). Postdischarge surveillance was performed until 30 days after surgery. Causative microorganisms from in-hospital wound swabs were determined. SSI rates between both periods were compared and a risk analysis was carried out by performing a logistic regression. Results: The study included 1719 operations. The in-hospital SSI rate increased significantly over time. Out of 140 SSIs, 39% were diagnosed postdischarge. Risk factors were diabetes, age >60 years and operations classified as contaminated or dirty. Pseudomonas aeruginosa susceptibility was the highest for gentamicin (97%). All Staphylococcus aureus were methicillin susceptible. Conclusion: As patient demographics are important to determine the effectiveness of infection preventive measures, (postdischarge) surveillance is important for developing SSI interventions.

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KW - CARDIOTHORACIC SURGERY

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KW - RISK-FACTORS

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KW - PREVENTION

KW - EPIDEMIOLOGY

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