Bloodstream infections following different types of surgery in a Finnish tertiary care hospital, 2009-2014

被引：5

作者：

Skogberg, K. ^{[1
]}

Kontula, K. S. K. ^{[1
]}

Jarvinen, A. ^{[1
]}

Lyytikainen, O. ^{[2
]}

机构：

[1] Univ Helsinki, Cent Hosp, HUCH Inflammat Ctr, Div Infect Dis, Helsinki, Finland

[2] Natl Inst Hlth & Welf, Dept Infect Dis Surveillance & Control, Helsinki, Finland

来源：

JOURNAL OF HOSPITAL INFECTION | 2018年 / 99卷 / 01期

关键词：

Bloodstream infection; Bacteraemia; Surgery; Postoperative; Healthcare-associated; NOSOCOMIAL INFECTIONS;

D O I：

10.1016/j.jhin.2017.10.005

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The risk and outcome of bloodstream infections (BSIs) were evaluated following surgery. BSIs were identified in Helsinki University Hospital during 2009-2014 as part of the national surveillance. Of 711 BSIs identified, 51% were secondary and 49% primary. The rate was highest after cardiovascular surgery (8.7 per 1000 procedures) and lowest after gynaecologic (1.0 per 1000). Surgical site infection was the most frequent source of secondary BSIs (34%) and 45% of primary BSIs were central-line-associated. The 28-day case fatality ranged from zero in gynaecology/obstetrics to 21% in cardiovascular surgery. Besides BSIs related to surgical site infections, half of BSIs were primary, providing additional foci for prevention. (C) 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：89 / 93

页数：5

共 10 条

[1] Infections following major heart surgery in European intensive care units:: there is room for improvement (ESGNI 007 Study)
Bouza, E.
Hortal, J.
Munoz, P.
Perez, M. J.
Riesgo, M. J.
Hiesmayr, M.
[J]. JOURNAL OF HOSPITAL INFECTION, 2006, 63 (04) : 399 - 405
[2] CDC DEFINITIONS FOR NOSOCOMIAL INFECTIONS, 1988
GARNER, JS
JARVIS, WR
EMORI, TG
HORAN, TC
HUGHES, JM
[J]. AMERICAN JOURNAL OF INFECTION CONTROL, 1988, 16 (03) : 128 - 140
[3] NOSOCOMIAL INFECTIONS IN SURGICAL PATIENTS IN THE UNITED-STATES, JANUARY 1986 JUNE 1992
HORAN, TC
CULVER, DH
GAYNES, RP
JARVIS, WR
EDWARDS, JR
REID, CR
[J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1993, 14 (02) : 73 - 80
[4] Horvath KA, 2013, ANN THORAC SURG, V95, P2194, DOI 10.1016/j.athoracsur.2012.11.078
[5] Risk factors for death in a cohort of patients with and without healthcare-associated infections in Finnish acute care hospitals
Kanerva, M.
Ollgren, J.
Virtanen, M. J.
Lyytikainen, O.
[J]. JOURNAL OF HOSPITAL INFECTION, 2008, 70 (04) : 353 - 360
[6] Are there independent predisposing factors for postoperative infections following open heart surgery?
Lola, Ioanna
Levidiotou, Stamatina
Petrou, Anastasios
Arnaoutoglou, Helen
Apostolakis, Efstratios
Papadopoulos, George S.
[J]. JOURNAL OF CARDIOTHORACIC SURGERY, 2011, 6 : 151
[7] Nosocomial bloodstream infections in Finnish hospitals during 1999-2000
Lyytikäinen, O
Lumio, J
Sarkkinen, H
Kolho, E
Kostiala, A
Ruutu, P
[J]. CLINICAL INFECTIOUS DISEASES, 2002, 35 (02) : E14 - E19
[8] Nosocomial Bloodstream Infections in Brazilian Hospitals: Analysis of 2,563 Cases from a Prospective Nationwide Surveillance Study
Marra, Alexandre R.
Aranha Camargo, Luis Fernando
Campos Pignatari, Antonio Carlos
Sukiennik, Teresa
Petersen Behar, Paulo Renato
Servolo Medeiros, Eduardo Alexandrino
Ribeiro, Julival
Girao, Evelyne
Correa, Luci
Guerra, Carla
Brites, Carlos
Pires Pereira, Carlos Alberto
Carneiro, Irna
Reis, Marise
de Souza, Marta Antunes
Tranchesi, Regina
Barata, Cristina U.
Edmond, Michael B.
[J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2011, 49 (05) : 1866 - 1871
[9] Epidemiology of nosocomial bloodstream infections in Estonia
Mitt, P.
Adamson, V.
Loivukene, K.
Lang, K.
Telling, K.
Paro, K.
Room, A.
Naaber, P.
Maimets, M.
[J]. JOURNAL OF HOSPITAL INFECTION, 2009, 71 (04) : 365 - 370
[10] Excess costs associated with common healthcare-associated infections in an Iranian cardiac surgical unit
Nosrati, M.
Boroumand, M.
Tahmasebi, S.
Sotoudeh, M.
Sheikhfathollahi, M.
Goodarzynejad, H.
[J]. JOURNAL OF HOSPITAL INFECTION, 2010, 76 (04) : 304 - 307

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