Surgical site infection rates in 4 cities in Colombia: Findings of the International Nosocomial Infection Control Consortium (INICC)

Background Surgical site infections (SSIs) are a threat to patient safety. However, there are no available data on SSI rates stratified by surgical procedure (SP) in Colombia. Methods From January 2008-December 2010, a prospective surveillance study on SSIs was conducted by the International Nosocom...

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Bibliographic Details
Published in:American journal of infection control 2014-10, Vol.42 (10), p.1089-1092
Main Authors: Álvarez-Moreno, Carlos, MD, Pérez-Fernández, Ana M., MD, Rosenthal, Victor D., MD, MSc, CIC, Quintero, Jorge, MD, Chapeta-Parada, Edwin, MD, Linares, Claudia, RN, Pinilla-Martínez, Iván Francisco, MD, Martínez-Saleg, Paula Andrea, MD, Sierra, Patricia, MD, Mindiola-Rochel, Andrés Eduardo, MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cities
Colombia - epidemiology
Comparative analysis
Developing Countries
Epidemiology
Epidemiology. Vaccinations
General aspects
Health care-associated infection
Hospital infection
Human infectious diseases. Experimental studies and models
Humans
Infection Control
Infectious Disease
Infectious diseases
Limited resources countries
low income countries
Medical sciences
Network
Nosocomial infections
Patient safety
Prevalence
Prospective Studies
Surgical wound infection
Surgical Wound Infection - epidemiology
Surveillance
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Summary:Background Surgical site infections (SSIs) are a threat to patient safety. However, there are no available data on SSI rates stratified by surgical procedure (SP) in Colombia. Methods From January 2008-December 2010, a prospective surveillance study on SSIs was conducted by the International Nosocomial Infection Control Consortium (INICC) in 4 hospitals in 4 cities within Colombia using the definitions of the Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN). SPs were classified into 10 types, according to ICD-9 criteria. Results We recorded 193 SSIs associated with 5,063 SPs. SSI rates per type of SP were the following, compared with INICC and CDC-NHSN rates, respectively: 9.1% for laminectomy (vs 1.7% and 1.0%), 8.3% for cardiac surgery (vs 5.6% and 1.3%), 3.9% for appendix surgery (vs 2.9% and 1.4%), 5.5% for abdominal hysterectomy (vs 2.7% and 1.6%), 4.4% for prostate surgery (vs 2.1% and 1.2%), 4.5% for spleen surgery (vs 5.6% and 2.3%), 4.3% for vaginal hysterectomy (vs 2.0% and 0.9%), and 3.0% for gallbladder surgery (vs 2.5% and 0.6%). Conclusions Compared with CDC-NHSN rates, SSIs rates in our study hospitals were higher in most types of SPs, whereas compared with INICC, they were similar in 5 of the analyzed types, and higher in 4 types. This study represents an important advance toward knowledge of epidemiology in Colombia that will allow us to introduce targeted interventions.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2014.06.010