Impact of a surgical site infection (SSI) surveillance program in orthopedics and traumatology

• Published in: Orthopaedics & traumatology, surgery & research Vol. 98; no. 6; pp. 690 - 695
• Main Authors: Mabit, C, Marcheix, P.S, Mounier, M, Dijoux, P, Pestourie, N, Bonnevialle, P, Bonnomet, F
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01.10.2012
• Subjects: Cross Infection - epidemiology; Cross Infection - prevention & control; Female; France - epidemiology; Humans; Incidence; Infection control; Infection Control - methods; Male; Middle Aged; Nosocomial infections; Orthopedics; Population Surveillance - methods; Prevalence; Prospective Studies; Risk Factors; Surgery; Surgical site infection; Surgical Wound Infection - epidemiology; Surgical Wound Infection - prevention & control; Time Factors; Traumatology; France; Surgical site infection; Nosocomial infections; Infection control
• ISSN: 1877-0568; 1877-0568
• DOI: 10.1016/j.otsr.2012.08.001

Summary Surveillance of surgical site infections (SSI) is a priority. One of the fundamental principles for the surveillance of SSI is based on receiving effective field feedback (retro-information). The aim of this study was to report the results of a program of SSI surveillance and validate the hypothesis that there is a correlation between creating a SSI surveillance program and a reduction in SSI. Materials and methods The protocol was based on the weekly collection of surveillance data obtained directly from the different information systems in different departments. A delay of 3 months was established before extraction and analysis of data and information from the surgical teams. The NNIS index (National Nosocomial Infections Surveillance System) developed by the American surveillance system and the reduction of length of hospital stay index Journées d’hospitalisation évitées (JHE). Results Since the end of 2009, 7156 surgical procedures were evaluated (rate of inclusion 97.3%), and 84 SSI were registered with a significant decrease over time from 1.86% to 0.66%. A total of 418 days of hospitalization have been saved since the beginning of the surveillance system. Discussion Our surveillance system has three strong points: follow-up is continuous, specifically adapted to orthopedic traumatology and nearly exhaustive. The extraction of data directly from hospital information systems effectively improves the collection of data on surgical procedures. The implementation of a SSI surveillance protocol reduces SSI. Level of evidence Level III. Prospective study.