The Importance of Continued Quality Improvement Efforts in Monitoring Hospital-Acquired Infection Rates: A Cardiac Surgery Experience

The Annals of Thoracic Surgery
Valentin MocanuJean-Francois Légaré

Abstract

Hospital-acquired infections have been suggested to affect patients' outcomes and raise health care costs. However, research regarding the change in rates and types of infections over time remains limited. All patients who underwent cardiac surgical procedures from 1995 to 2012 at the Queen Elizabeth II Health Sciences Center in Halifax, Canada were identified. The prevalence of superficial surgical site infection (sSSI), deep surgical site infection (dSSI), urinary tract infection, sepsis, pneumonia, and leg site infection was examined to determine trends in infections over time. Nonparsimonious logistic regression models were created to identify independent preoperative predictors of length of stay and infection onset. A total of 19,333 consecutive patients underwent cardiac surgical procedures, of whom 2,726 (14%) contracted at least one postoperative infection. The incidence of infections increased from 8% to 20% during the 17-year span (p < 0.0001). The overall prevalence of infection types, from highest to lowest, was pneumonia (6%), urinary tract infection (6%), sepsis (3%), sSSI (2%), leg infection (2%), and dSSI (1%). After adjusting for clinical differences, postoperative infection was found to be an independent predi...Continue Reading

References

Apr 27, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Roger BaskettGregory Hirsch
Aug 17, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Jean-François LégaréJohn A Sullivan
Oct 29, 2010·Journal of the American College of Surgeons·Todd R VogelStephen F Lowry
Nov 16, 2011·Journal of Cardiothoracic Surgery·Ioanna LolaGeorge S Papadopoulos
Jan 18, 2012·The Journal of Thoracic and Cardiovascular Surgery·Andrew W ElBardissiJames S Gammie
Jan 1, 2014·The Canadian Journal of Cardiology·Karen J ButhGregory M Hirsch

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Citations

Jun 6, 2015·The Annals of Thoracic Surgery·Donald E Fry
Jun 20, 2015·Nutrition Journal·Heather H KellerKhursheed Jeejeebhoy
Sep 25, 2017·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·K M JärveläJ A Khan
Mar 20, 2019·Acta Anaesthesiologica Scandinavica·Edda VesteinsdottirSigurbergur Karason
Aug 10, 2017·Revista brasileira de enfermagem·Álvaro Francisco Lopes de SousaMaria Eliete Batista Moura

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