Skip to main content
×
Home
    • Aa
    • Aa

Trends in the Incidence of Surgical Site Infection in The Netherlands

  • Judith Manniën (a1), Susan van den Hof (a2), Jan Muilwijk (a1), Peterhans J. van den Broek (a3), Birgit van Benthem (a1) and Jan C. Wille (a4)...
Abstract
Objective.

To evaluate the time trend in the surgical site infection (SSI) rate in relation to the duration of surveillance in The Netherlands.

Setting.

Forty-two hospitals that participated in the the Dutch national nosocomial surveillance network, which is known as PREZIES (Preventie van Ziekenhuisinfecties door Surveillance), and that registered at least 1 of the following 5 frequently performed surgical procedures for at least 3 years during the period from 1996 through 2006: mastectomy, colectomy, replacement of the head of the femur, total hip arthroplasty, or knee arthroplasty.

Methods.

Analyses were performed for each surgical procedure. The surveillance time to operation was stratified in consecutive 1-year periods, with the first year as reference. Multivariate logistic regression analysis was performed using a random coefficient model to adjust for random variation among hospitals. All models were adjusted for method of postdischarge surveillance.

Results.

The number of procedures varied from 3,031 for colectomy to 31,407 for total hip arthroplasty, and the SSI rate varied from 1.6% for knee arthroplasty to 12.2% for colectomy. For total hip arthroplasty, the SSI rate decreased significantly by 6% per year of surveillance (odds ratio [OR], 0.94 [95% confidence interval {CI}, 0.90–0.98]), indicating a 60% decrease after 10 years. Nonsignificant but substantial decreasing trends in the rate of SSI were found for replacement of the head of the femur (OR, 0.94 [95% CI, 0.88–1.00]) and for colectomy (OR, 0.92 [95% CI, 0.83–1.02]).

Conclusions.

Even though most decreasing trends in the SSI rate were not statistically significant, they were encouraging. To use limited resources as efficiently as possible, we would suggest switching the surveillance to another surgical procedure when the SSI rate for that particular procedure has decreased below the target rate.

Copyright
Corresponding author
National Institute for Public Health and the Environment (RIVM), Postbak 75, PO Box 1, 3720 BA Bilthoven, The Netherlands (Judith.Mannien@rivm.nl)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1. RW Haley , DH Culver , JW White , et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182205.

2. R Gaynes , C Richards , J Edwards , et al. Feeding back surveillance data to prevent hospital-acquired infections. Emerg Infect Dis 2001;7:295298.

3. S Harbarth , H Sax , P Gastmeier . The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect 2003;54:258266.

6. EL Geubbels , NJ Nagelkerke , AJ Mintjes-De Groot , CM Vandenbroucke-Grauls , DE Grobbee , AS De Boer . Reduced risk of surgical site infections through surveillance in a network. Int J Qual Health Care 2006;18:127133.

7. J Manniën , JC Wille , RL Snoeren , S van den Hof . Impact of postdischarge surveillance on surgical site infection rates for several surgical procedures: results from the nosocomial surveillance network in the Netherlands. Infect Control Hosp Epidemiol 2006;27:809816.

8. J Manniën , AE van der Zeeuw , JC Wille , S van den Hof . Validation of surgical site infection surveillance in The Netherlands. Infect Control Hosp Epidemiol 2007;28:3641.

10. P Gastmeier , D Sohr , C Brandt , T Eckmanns , M Behnke , H Rüden . Reduction of orthopaedic wound infections in 21 hospitals. Arch Orthop Trauma Surg 2005;125:526530.

11. S Bärwolff , D Sohr , C Geffers , et al. Reduction of surgical site infections after Caesarean delivery using surveillance. J Hosp Infect 2006;64:156161.

12. C Brandt , D Sohr , M Behnke , F Daschner , H Ruden , P Gastmeier . Reduction of surgical site infection rates associated with active surveillance. Infect Control Hosp Epidemiol 2006;27:13471351.

13. C Rioux , B Grandbastien , P Astagneau . Impact of a six-year control programme on surgical site infections in France: results of the INCISO surveillance. J Hosp Infect 2007;66:217223.

14. CM Couris , M Rabilloud , R Ecochard , et al. Nine-year downward trends in surgical site infection rate in southeast France (1995-2003). J Hosp Infect 2007;67:127134.

16. M Delgado-Rodriguez , A Gomez-Ortega , M Sillero-Arenas , G Martinez-Gallego , M Medina-Cuadros , J Llorca . Efficacy of surveillance in nosocomial infection control in a surgical service. Am J Infect Control 2001;29:289294.

17. SJ McConkey , PB L'Ecuyer , DM Murphy , TL Leet , TM Sundt , VJ Fraser . Results of a comprehensive infection control program for reducing surgical-site infections in coronary artery bypass surgery: further data from the authors. Infect Control Hosp Epidemiol 1999;20:791792.

18. M Olson , M O'Connor , ML Schwartz . Surgical wound infections: a 5-year prospective study of 20,193 wounds at the Minneapolis VA Medical Center. Ann Surg 1984;199:253259.

19. J Manniën , ME van Kasteren , NJ Nagelkerke , et al. Effect of optimized antibiotic prophylaxis on the incidence of surgical site infection. Infect Control Hosp Epidemiol 2006;27:13401346.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 1 *
Loading metrics...

Abstract views

Total abstract views: 79 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 25th September 2017. This data will be updated every 24 hours.