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Surgical Site Infections, International Nosocomial Infection Control Consortium (INICC) Report, Data Summary of 30 Countries, 2005–2010

  • Victor D. Rosenthal (a1), Rosana Richtmann (a2), Sanjeev Singh (a3), Anucha Apisarnthanarak (a4), Andrzej Kübler (a5), Nguyen Viet-Hung (a6), Fernando M. Ramírez-Wong (a7), Jorge H. Portillo-Gallo (a8), Jessica Toscani (a9), Achilleas Gikas (a10), Lourdes Dueñas (a11), Amani El-Kholy (a12), Sameeh Ghazal (a13), Dale Fisher (a14), Zan Mitrev (a15), May Osman Gamar-Elanbya (a16) (a17), Souha S. Kanj (a18), Yolanda Arreza-Galapia (a19), Hakan Leblebicioglu (a20), Soňa Hlinková (a21) (a22), Badaruddin A. Memon (a23), Humberto Guanche-Garcell (a24), Vaidotas Gurskis (a25), Carlos Álvarez-Moreno (a26), Amina Barkat (a27), Nepomuceno Mejía (a28), Magda Rojas-Bonilla (a29), Goran Ristic (a30), Lul Raka (a31), Cheong Yuet-Meng (a32) and on behalf of the International Nosocomial Infection Control Consortium...

Abstract

Objective.

To report the results of a surveillance study on surgical site infections (SSIs) conducted by the International Nosocomial Infection Control Consortium (INICC).

Design.

Cohort prospective multinational multicenter surveillance study.

Setting.

Eighty-two hospitals of 66 cities in 30 countries (Argentina, Brazil, Colombia, Cuba, Dominican Republic, Egypt, Greece, India, Kosovo, Lebanon, Lithuania, Macedonia, Malaysia, Mexico, Morocco, Pakistan, Panama, Peru, Philippines, Poland, Salvador, Saudi Arabia, Serbia, Singapore, Slovakia, Sudan, Thailand, Turkey, Uruguay, and Vietnam) from 4 continents (America, Asia, Africa, and Europe).

Patients.

Patients undergoing surgical procedures (SPs) from January 2005 to December 2010.

Methods.

Data were gathered and recorded from patients hospitalized in INICC member hospitals by using the methods and definitions of the Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) for SSI. SPs were classified into 31 types according to International Classification of Diseases, Ninth Revision, criteria.

Results.

We gathered data from 7,523 SSIs associated with 260,973 SPs. SSI rates were significantly higher for most SPs in INICC hospitals compared with CDC-NHSN data, including the rates of SSI after hip prosthesis (2.6% vs 1.3%; relative risk [RR], 2.06 [95% confidence interval (CI), 1.8–2.4]; P<.001), coronary bypass with chest and donor incision (4.5% vs 2.9%; RR, 1.52 [95% CI, 1.4–1.6]; P<.001); abdominal hysterectomy (2.7% vs 1.6%; RR, 1.66 [95% CI, 1.4–2.0]; P<.001); exploratory abdominal surgery (4.1 % vs 2.0%; RR, 2.05 [95% CI, 1.6–2.6]; P<.001); ventricular shunt, 12.9% vs 5.6% (RR, 2.3 [95% CI, 1.9–2.6]; P<.001), and others.

Conclusions.

SSI rates were higher for most SPs in INICC hospitals compared with CDC-NHSN data.

Copyright

Corresponding author

International Nosocomial Infection Control Consortium, Corrientes Avenue #4580, Floor 12, Apartment D, Buenos Aires 1195, Argentina (victor_rosenthal@inicc.org).

References

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