Diminishing surgical site infections in Australia: time trends in infection rates, pathogens and antimicrobial resistance using a comprehensive Victorian surveillance program, 2002-2013

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Leon J WorthMichael Richards

Abstract

To evaluate time trends in surgical site infection (SSI) rates and SSI pathogens in Australia. Prospective multicenter observational cohort study. A group of 81 Australian healthcare facilities participating in the Victorian Healthcare Associated Infection Surveillance System (VICNISS). All patients underwent surgeries performed between October 1, 2002, and June 30, 2013. National Healthcare Safety Network SSI surveillance methods were employed by the infection prevention staff at the participating hospitals. Procedure-specific risk-adjusted SSI rates were calculated. Pathogen-specific and antimicrobial-resistant (AMR) infections were modeled using multilevel mixed-effects Poisson regression. A total of 183,625 procedures were monitored, and 5,123 SSIs were reported. Each year of observation was associated with 11% risk reduction for superficial SSI (risk ratio [RR], 0.89; 95% confidence interval [CI], 0.88-0.90), 9% risk reduction for deep SSI (RR, 0.91; 95% CI, 0.90-0.93), and 5% risk reduction for organ/space SSI (RR, 0.95; 95% CI, 0.93-0.97). Overall, 3,318 microbiologically confirmed SSIs were reported. Of these SSIs, 1,174 (35.4%) were associated with orthopedic surgery, 827 (24.9%) with coronary artery bypass surgery, 49...Continue Reading

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Citations

Jan 1, 2016·Surgical Infections·Kalisvar MarimuthuNicolas Troillet
Dec 24, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Haruhisa Fukuda, Manabu Kuroki
Oct 16, 2015·Clinical Orthopaedics and Related Research·Julien Girard
Sep 1, 2015·Injury·Mette Renate AndersenWender Figved
Feb 1, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Takatoshi NakamuraMasahiko Watanabe
Dec 11, 2017·Internal Medicine Journal·Shelanah A FernandoThomas Gottlieb
Jan 17, 2021·World Journal of Surgery·Byron L CrapeKarapet Davtyan
Oct 5, 2019·The Journal of Infection·Helen S MarshallAnnaliesa S Anderson
Feb 1, 2020·Indian Journal of Medical Microbiology·Purva MathurKamini Walia
Jul 1, 2019·Indian Journal of Medical Microbiology·Purva MathurKamini Walia
Apr 16, 2021·Journal of Wound Care·Anna BekiariGeorgios K Glantzounis
May 25, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Olivia Catherine Smibert, Leon J Worth
Jul 6, 2021·JAC-antimicrobial Resistance·Courtney IeranoCaroline Marshall

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