A surgical site infection cluster: the process and outcome of an investigation--the impact of an alcohol-based surgical antisepsis product and human behavior

Anesthesia and Analgesia
Sarah HaesslerCharles Gibson

Abstract

The institution of a process used to successfully execute a perioperative antibiotic administration system is but 1 component of preventing postoperative infections. Continued surveillance of infections is an important part of the process of decreasing postoperative infections. We recently experienced an increase in the number of postoperative infections in our patients. Using standard infection control methods of outbreak investigation, we tracked multiple variables to search for a common cause. We describe herein the process by which Quality Improvement methodology was used to investigate and manage this surgical site infection (SSI) cluster. As part of routine surveillance for SSI, the infection control division seeks out evidence of postoperative infections. Patients were defined as having an SSI according to National Healthcare Safety Network SSI criteria. SSI data are reviewed monthly and aggregated on a quarterly basis. The SSI rate was above our usual level for 3 consecutive quarters of 2007. This increase in the infection rate led to an internal outbreak investigation, termed a "cluster investigation." This investigation comprised multiple concurrent methods including manual chart review of all cases; review of microbi...Continue Reading

References

Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
Dec 18, 2001·American Journal of Infection Control·C A O'BoyleE Larson
Mar 1, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Charles SalemiEnid K Eck
Aug 10, 2002·JAMA : the Journal of the American Medical Association·Jean Jacques ParientiUNKNOWN Antisepsie Chirurgicale des mains Study Group
Mar 1, 2003·ANZ Journal of Surgery·Ala Jamal, Stephen Wilkinson
Jun 29, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Dale W Bratzler, David R Hunt
Nov 24, 2006·Anesthesia and Analgesia·Gary KanterJan Fitzgerald
Oct 2, 2008·JAMA : the Journal of the American Medical Association·Nicholas Graves, John E McGowan
Jun 17, 2009·Archives of Surgery·Heidi MisteliWalter R Marti

❮ Previous
Next ❯

Citations

Nov 16, 2011·Der Anaesthesist·M Neuburger, J Büttner
May 1, 2012·Clinical Oral Implants Research·Philippe HujoelBurton Becker
May 28, 2011·The British Journal of Surgery·A KurmannG Beldi
May 14, 2014·Antimicrobial Resistance and Infection Control·Günter Kampf, Christiane Ostermeyer
Nov 8, 2016·American Journal of Surgery·Brad S OrielKamal M F Itani
Jul 16, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Katherine EllingsonDeborah S Yokoe
May 26, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Carolyn M Clancy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Basel SharafThomas B Dodson
Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Zachary H RamjanWely B Floriano
Journal of Nursing Care Quality
P Keill, T Johnson
Plastic and Reconstructive Surgery
Bahman Guyuron
© 2021 Meta ULC. All rights reserved