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Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization

Introduction: WHO core components of healthcare-associated infections (HAIs) prevention and control include their surveillance system. In Poland, there are no widespread multi-center infection surveillance networks based on continuous, targeted, active methodology. One of the most important form of...

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Autores principales: Różańska, Anna, Rosiński, Jerzy, Jarynowski, Andrzej, Baranowska-Tateno, Katarzyna, Siewierska, Małgorzata, Wójkowska-Mach, Jadwiga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158383/
https://www.ncbi.nlm.nih.gov/pubmed/34070095
http://dx.doi.org/10.3390/ijerph18105374
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author Różańska, Anna
Rosiński, Jerzy
Jarynowski, Andrzej
Baranowska-Tateno, Katarzyna
Siewierska, Małgorzata
Wójkowska-Mach, Jadwiga
author_facet Różańska, Anna
Rosiński, Jerzy
Jarynowski, Andrzej
Baranowska-Tateno, Katarzyna
Siewierska, Małgorzata
Wójkowska-Mach, Jadwiga
author_sort Różańska, Anna
collection PubMed
description Introduction: WHO core components of healthcare-associated infections (HAIs) prevention and control include their surveillance system. In Poland, there are no widespread multi-center infection surveillance networks based on continuous, targeted, active methodology. One of the most important form of HAIs are surgical site infections (SSIs). The aim of this study was to analyze the incidence of SSIs, in the context of seasonal differentiation. Seasonal differentiation could be connected with weather conditions, but it also can be affected by personnel absence due to holidays and furlough. The second aspect may influence organization of work and increased absenteeism may contribute to lowering the quality of patient care. Healthcare associated infections are the phenomenon which can be especially affected by such factors. Methods: The data used originate from the targeted, active surveillance reports obtained from the six years period, based on the ECDC recommendations. Results: Highest incidence rates of SSIs were found after operations performed in June and August, equal to 1.8% and 1.5% respectively and the lowest in October was 0.8%. These differences were statistically significant: for June incidence: OR 1.6, 95% CI 1.03–2.5, p = 0.015. Another approach showed a significant difference between the level of incidence in the period from November to January together with from June to August (1.35%), comparing to the rest of the year (1.05%). Also the rates of enterococcal and Enterobacterales infections were significantly higher for the period comprising months from November till January and from June to August. In Poland these are periods of increased number of absences associated with summer, national and religious holidays. Conclusions: Our results show that the short-term surveillance data limited to several days or months are not sufficient to obtain a valuable description of the epidemiological situation due to HAI. Efforts should be undertaken in order to implement wide net of hospital acquired infections, including SSI on the country level.
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spelling pubmed-81583832021-05-28 Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization Różańska, Anna Rosiński, Jerzy Jarynowski, Andrzej Baranowska-Tateno, Katarzyna Siewierska, Małgorzata Wójkowska-Mach, Jadwiga Int J Environ Res Public Health Article Introduction: WHO core components of healthcare-associated infections (HAIs) prevention and control include their surveillance system. In Poland, there are no widespread multi-center infection surveillance networks based on continuous, targeted, active methodology. One of the most important form of HAIs are surgical site infections (SSIs). The aim of this study was to analyze the incidence of SSIs, in the context of seasonal differentiation. Seasonal differentiation could be connected with weather conditions, but it also can be affected by personnel absence due to holidays and furlough. The second aspect may influence organization of work and increased absenteeism may contribute to lowering the quality of patient care. Healthcare associated infections are the phenomenon which can be especially affected by such factors. Methods: The data used originate from the targeted, active surveillance reports obtained from the six years period, based on the ECDC recommendations. Results: Highest incidence rates of SSIs were found after operations performed in June and August, equal to 1.8% and 1.5% respectively and the lowest in October was 0.8%. These differences were statistically significant: for June incidence: OR 1.6, 95% CI 1.03–2.5, p = 0.015. Another approach showed a significant difference between the level of incidence in the period from November to January together with from June to August (1.35%), comparing to the rest of the year (1.05%). Also the rates of enterococcal and Enterobacterales infections were significantly higher for the period comprising months from November till January and from June to August. In Poland these are periods of increased number of absences associated with summer, national and religious holidays. Conclusions: Our results show that the short-term surveillance data limited to several days or months are not sufficient to obtain a valuable description of the epidemiological situation due to HAI. Efforts should be undertaken in order to implement wide net of hospital acquired infections, including SSI on the country level. MDPI 2021-05-18 /pmc/articles/PMC8158383/ /pubmed/34070095 http://dx.doi.org/10.3390/ijerph18105374 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Różańska, Anna
Rosiński, Jerzy
Jarynowski, Andrzej
Baranowska-Tateno, Katarzyna
Siewierska, Małgorzata
Wójkowska-Mach, Jadwiga
Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization
title Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization
title_full Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization
title_fullStr Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization
title_full_unstemmed Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization
title_short Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization
title_sort incidence of surgical site infections in multicenter study—implications for surveillance practice and organization
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158383/
https://www.ncbi.nlm.nih.gov/pubmed/34070095
http://dx.doi.org/10.3390/ijerph18105374
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