How to save time in surveillance without losing quality: comparison of two methods of surgical site infection surveillance in orthopaedic prosthetics in a French university hospital

Abstract

Surgical site infection (SSI) surveillance methods are not standardised and are often time-consuming. We compared an active method, based on orthopaedic department staff reporting suspected SSI, with a semi-automated method, based on computerised extraction of surgical revisions, after total hip and knee arthroplasty. Both methods allowed finding the same SSI cases. We found the same sensitivity but higher specificity with a straightforward time gain using the passive method. This represents an added value for the organisation of an effective SSI surveillance, based on existing hospital databases.

Keywords

Surveillance surgical site infection healthcare-associated infections

Get full access to this article

View all access options for this article.

References

Benenson

Moses

Cohen

Brezis

Minster

Schwartz

Kandel

Liebergall

Mattan

(2017) A Practical Tool for Surveillance of Surgical-Site Infections: A 5-Year Experience in Orthopedic Surgeries. Infection Control and Hospital Epidemiology 38(5): 610–613.

Centers for Disease Control and Prevention, National Healthcare Safety Network (CDC, NHSN). (2020) Procedure-associated module. SSI. Atlanta, GA: CDC. Available at: https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf (accessed 16 April 2020).

Comité technique des infections nosocomiales et des infections liées aux soins (CTINILS Ministère, de la santé, de la jeunesse et des sports DGS/DHOS). (2007) Définition des infections associées aux soins. Available at: https://solidarites-sante.gouv.fr/IMG/pdf/rapport_vcourte.pdf (accessed 16 April 2020).

Daabiss

(2011) American Society of Anaesthesiologists physical status classification. Indian Journal of Anaesthesia 55(2): 111–115.

Grammatico-Guillon

Baron

Gettner

Lecuyer

Gaborit

Rosset

Rusch

Bernard

(2012) Bone and joint infections in hospitalized patients in France, 2008: clinical and economic outcomes. Journal of Hospital Infection 82(1): 40–48.

Grammatico-Guillon

Rusch

Astagneau

(2015) Surveillance of prosthetic joint infections: international overview and new insights for hospital databases. Journal of Hospital Infection 89(2): 90–98.

Kirkland

Briggs

Trivette

Wilkinson

Sexton

. (1999) The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infection Control and Hospital Epidemiology 20(11): 725–730.

Ministère des affaires sociales, de la santé et des droits des femmes. (2015) Programme National d’Actions de Prévention des Infections Associées aux Soins (PROPIAS). Available at: https://solidarites-sante.gouv.fr/IMG/pdf/2015_202to-2.pdf (accessed 16 April 2020).

Réseau ISO-Raisin. (2015) Surveillance des Infections du Site Opératoire (Surveillance des interventions prioritaires) - Protocole national Année 2016. Available at: http://www.cpias-auvergnerhonealpes.fr/Reseaux/ISO/Protocole/2016/protocole_se_2016_prioritaire.pdf (accessed 16 April 2020).

10.

van Mourik

van Duijn

Moons

Bonten

Lee

. (2015) Accuracy of administrative data for surveillance of healthcare-associated infections: a systematic review. BMJ Open 5(8): e008424.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.02 MB