Prevention of surgical site infections. Results from 14 years of KISS (hospital infection surveillance system)

被引：2

作者：

Gastmeier, P. ^{[1
]}

Breier, A. -C. ^{[1
]}

Sohr, D. ^{[1
]}

Geffers, C. ^{[1
]}

机构：

[1] Charite Univ Med Berlin, Inst Hyg & Umweltmed, Campus Benjamin Franklin,Hindenburgdamm 27, D-12203 Berlin, Germany

来源：

TRAUMA UND BERUFSKRANKHEIT | 2012年 / 14卷

关键词：

Surgical site infection; Surgery; Surveillance; Epidemiology; Risk factors;

D O I：

10.1007/s10039-011-1799-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The number of hospitals participating in the German national nosocomial infection surveillance system (KISS) has been increasing during the last 14 years. A total of 616 surgical departments from 495 hospitals have provided data on a voluntary basis between 2006 and 2010, among them 172 departments with data on hip prosthesis following arthrosis, 117 departments with hip prostheses following fractures and 107 with knee prostheses. It was possible to demonstrate that feedback, careful interpretation of data and introduction of appropriate interventions lead to a significant reduction of surgical site infections. Significant risk factors for surgical site infections were male gender with an odds ratio (OR) of 1.15, age (OR=1.03), wound contamination class (OR=4.28), ASA (American Society of Anesthesiologists) score (OR=2.18) and summer season (OR=1.30). The most frequent pathogens of surgical site infection were S. aureus (35.5%) followed by coagulase negative staphylococci (12.9%) and enterococci (12.8%).

引用

页码：110 / 114

页数：5

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