Surgical site infection after cardiac surgery: a simplified surveillance method.

Abstract:

:We report the results of a 2-year, 7-center program of surveillance of deep sternal wound infection (DSWI) after cardiac surgery. DSWI was defined as the need for reoperation. Stratification data were abstracted from computerized files. The incidence of DSWI was 2.2% (198 of 8,816 cardiac surgery procedures). The risk factors identified were obesity, age, coronary artery bypass grafting, postoperative mechanical ventilation, and early surgical reexploration. The resource efficiency of this simplified surveillance method is discussed.

authors

Lucet JC,Parisian Mediastinitis Study Group.

doi

10.1086/509853

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1393-6

issue

12

eissn

0899-823X

issn

1559-6834

pii

S0195941700075354

journal_volume

27

pub_type

杂志文章
  • An approach to the evaluation of quality indicators of the outcome of care in hospitalized patients, with a focus on nosocomial infection indicators.

    abstract::The Quality Indicator Study Group was created by the governing boards of three national professional organizations that have interest and experience in epidemiology, nosocomial infection control and prevention, and quality of care improvement. The Study Group has reviewed the existing literature concerning quality ind...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,评审

    doi:10.1086/647112

    authors: Quality Indicator Study Group.

    更新日期:1995-05-01 00:00:00

  • Epidemic Clostridium difficile-associated diarrhea: role of second- and third-generation cephalosporins.

    abstract:OBJECTIVE:To better define the role of multiple risk factors for cytotoxic Clostridium difficile-associated diarrhea. DESIGN:Case-control study. SETTING:A Veterans Affairs Medical Center. PATIENTS:Thirty-three case patients with C difficile-associated diarrhea. Two control groups were used: one group consisted of 32...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/646867

    authors: Nelson DE,Auerbach SB,Baltch AL,Desjardin E,Beck-Sague C,Rheal C,Smith RP,Jarvis WR

    更新日期:1994-02-01 00:00:00

  • The Feasibility of an Infection Control "Safe Zone" in a Spinal Cord Injury Unit.

    abstract::We report on healthcare worker use of a safe zone (outside a 3-foot perimeter around the patient's bed) and personal protective equipment in 2 inpatient spinal cord injury/disorder units. Workers remained within the safe zone during 22% of observations but were less compliant with personal protective equipment inside ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2016.37

    authors: Lones K,Ramanathan S,Fitzpatrick M,Hill JN,Guihan M,Richardson MS,Evans CT

    更新日期:2016-06-01 00:00:00

  • Nosocomial transmission of HIV in Africa: what tribute is paid to contaminated blood transfusions and medical injections?

    abstract::We reviewed the published data on the possible impact of medical injections and blood transfusions on the spread of human immunodeficiency virus (HIV) in Africa. We also compared these results to our experience in Rwanda, central Africa. The importance of medical injections in the epidemic of HIV infection seems to di...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/645833

    authors: Lepage P,Van de Perre P

    更新日期:1988-05-01 00:00:00

  • Eradication of amebiasis in a large institution for adults with mental retardation in Taiwan.

    abstract:OBJECTIVE:Investigation of a program to eradicate amebiasis using consecutive intensive mass screenings followed by medication in a large institute for adults with mental retardation in Taiwan. DESIGN:Prospective cohort study, with 3 years of follow-up. SETTING:A large, 450-bed institution for adults with mental reta...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/518351

    authors: Su SB,Guo HR,Chuang YC,Chen KT,Lin CY

    更新日期:2007-06-01 00:00:00

  • Prevalence and characteristics of Staphylococcus aureus colonization among healthcare professionals in an urban teaching hospital.

    abstract:OBJECTIVE:To determine the prevalence of asymptomatic carriage of Staphylococcus aureus and methicillin-resistant S. aureus (MRSA) among healthcare professionals (HCPs) who experience varying degrees of exposure to ambulatory patients and to genetically characterize isolates. METHODS:This single-center, cross-sectiona...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/652525

    authors: Elie-Turenne MC,Fernandes H,Mediavilla JR,Rosenthal M,Mathema B,Singh A,Cohen TR,Pawar KA,Shahidi H,Kreiswirth BN,Deitch EA

    更新日期:2010-06-01 00:00:00

  • Nosocomial Neisseria meningitidis: molecular analysis of a clinical problem.

    abstract::Over a 1-week period, Neisseria meningitidis serogroup B was recovered from two patients in the intensive-care unit (ICU). A cross-infection was presumed when one patient developed invasive meningococcal disease and another patient was found to be colonized. Investigation by molecular typing showed that these cases we...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647589

    authors: Louie M,Simor AE,Rachlis A,Louie L

    更新日期:1997-03-01 00:00:00

  • Statewide collaboration to evaluate the effects of blood loss and transfusion on surgical site infection after hysterectomy.

    abstract::We used mandatory public reporting as an impetus to perform a statewide study to define risk factors for surgical site infection. Among women who underwent abdominal hysterectomy, blood transfusion was a significant risk factor for surgical site infection in patients who experienced blood loss of less than 500 mL. ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/663341

    authors: Young H,Berumen C,Knepper B,Miller A,Silverman M,Gilmartin H,Wodrich E,Alexander S,Price CS

    更新日期:2012-01-01 00:00:00

  • The impact of changing reflexive to clinician-ordered Clostridioides difficile polymerase chain reaction (PCR) testing for indeterminate cases: Cost savings without associated adverse events.

    abstract:OBJECTIVE:To evaluate changing Clostridioides difficile infection (CDI) testing among inpatients with indeterminate enzyme immunoassay (EIA) results (antigen+/toxin-) from reflexive polymerase chain reaction (PCR) testing to clinician-ordered PCR testing. DESIGN:Multicenter, before-and-after, quasi-experimental study....

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.56

    authors: Sullivan EL,Majumdar R,Ortiz C,Riggs PK,Crum-Cianflone NF

    更新日期:2020-06-01 00:00:00

  • Prevalence survey on catheter-associated urinary tract infection (CAUTI) in public hospitals in Hong Kong 2018.

    abstract::We conducted a survey of 16,914 patients to determine the point prevalence of healthcare-associated catheter-associated urinary tract infection (HA-CAUTI) and urinary catheter care in public hospitals in Hong Kong. Overall HA-CAUTI prevalence was 0.27%. Compliance was generally good, except for documenting the date of...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2019.370

    authors: Chen H,Lee JWY,Yu KCH,Chan CKW,Wong ATY,Lai RWM,Fung KSC

    更新日期:2020-03-01 00:00:00

  • Clinical implications of restrictions in criteria for defining surgical site infections after mastectomy.

    abstract::More than 50% of women with clinically apparent infection after mastectomy did not meet the 2020 National Healthcare Safety Network (NHSN) definition for surgical site infection (SSI). Implant loss was similar whether the 2020 NHSN SSI definition was met or not, suggesting equivalent adverse outcomes regardless of res...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2020.1288

    authors: Bediako-Bowan AAA,Warren DK,Nickel KB,Fraser VJ,Olsen MA

    更新日期:2020-11-17 00:00:00

  • Rapid antibacterial activity of 2 novel hand soaps: evaluation of the risk of development of bacterial resistance to the antibacterial agents.

    abstract:OBJECTIVE:To evaluate the antimicrobial efficacy of and risk of organisms developing resistance to 2 novel hand soaps: (1) a soap containing triclosan, polyhexamethylene biguanide, and benzethonium chloride added to a soap base (TPB soap); and (2) a soap containing farnesol, polyhexamethylene biguanide, and benzethoniu...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/589723

    authors: Geraldo IM,Gilman A,Shintre MS,Modak SM

    更新日期:2008-08-01 00:00:00

  • Outbreak of postoperative shoulder arthritis due to Propionibacterium acnes infection in nondebilitated patients.

    abstract::We investigated an outbreak of postoperative shoulder arthritis due to Propionibacterium acnes infection in nondebilitated patients. Risk factors were male sex, the order in which surgery was performed during the daily operating schedule, and increased duration of the surgical procedure. After modification of the vent...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/507287

    authors: Berthelot P,Carricajo A,Aubert G,Akhavan H,Gazielly D,Lucht F

    更新日期:2006-09-01 00:00:00

  • False-Positive Tuberculin Skin Test Results Among Low-Risk Healthcare Workers Following Implementation of Fifty-Dose Vials of Purified Protein Derivative.

    abstract::Following large declines in tuberculosis transmission the United States, large-scale screening programs targeting low-risk healthcare workers are increasingly a source of false-positive results. We report a large cluster of presumed false-positive tuberculin skin test results in healthcare workers following a change t...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2018.59

    authors: Collins JM,Hunter M,Gordon W,Kempker RR,Blumberg HM,Ray SM

    更新日期:2018-06-01 00:00:00

  • Is the efficacy of antibiotic prophylaxis for surgical procedures decreasing? Systematic review and meta-analysis of randomized control trials.

    abstract:OBJECTIVE:Rising antibiotic resistance could reduce the effectiveness of antibiotics in preventing postoperative infections. We investigated trends in the efficacy of antibiotic prophylaxis regimens for 3 commonly performed surgical procedures-appendectomy, cesarean section, and colorectal surgery-and 1 invasive diagno...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,meta分析

    doi:10.1017/ice.2018.295

    authors: Gandra S,Trett A,Alvarez-Uria G,Solomkin JS,Laxminarayan R

    更新日期:2019-02-01 00:00:00

  • Transmission of hepatitis C in a pharmacologic study.

    abstract:OBJECTIVE:To describe an outbreak of hepatitis C in a clinical research study. DESIGN:Observational study. SETTING:Tertiary-care hospital. PATIENTS:Healthcare workers who volunteered to be subjects in a study of the metabolic effects of inhaled and oral corticosteroids who were unwittingly exposed to hepatitis C vir...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/501848

    authors: Saginur R,Nixon J,Devries B,Bruce N,Carruthers C,Scully L,Berger R,Leech J,Nicolle L,Mackenzie A

    更新日期:2001-11-01 00:00:00

  • Optimal frequency of changing intravenous administration sets: is it safe to prolong use beyond 72 hours?

    abstract:OBJECTIVE:To determine the safety and cost-effectiveness of replacing the intravenous (IV) tubing sets in hospitalized patients at 4- to 7-day intervals instead of every 72 hours. DESIGN:Prospective, randomized study of infusion-related contamination associated with changing IV tubing sets within 3 days versus within ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1086/501879

    authors: Raad I,Hanna HA,Awad A,Alrahwan A,Bivins C,Khan A,Richardson D,Umphrey JL,Whimbey E,Mansour G

    更新日期:2001-03-01 00:00:00

  • Negative-Pressure monitoring of tuberculosis isolation rooms within New York State hospitals.

    abstract::A previously published study recommended the daily use of visible smoke to test for negative air pressure in isolation rooms occupied by potentially infectious tuberculosis cases. Continuous monitoring devices were found to have poor reliability. Findings from our survey of engineering controls in acute-care hospitals...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/501943

    authors: Pavelchak N,Cummings K,Stricof R,Marshall E,Oxtoby M,London M

    更新日期:2001-08-01 00:00:00

  • Obtaining blood cultures by venipuncture versus from central lines: impact on blood culture contamination rates and potential effect on central line-associated bloodstream infection reporting.

    abstract:OBJECTIVE:Reduce the frequency of contaminated blood cultures that meet National Healthcare Safety Network definitions for a central line-associated bloodstream infection (CLABSI). DESIGN:An observational study. SETTING:A 500-bed university-affiliated hospital. METHODS:A new blood culture policy discouraged drawing ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/673142

    authors: Boyce JM,Nadeau J,Dumigan D,Miller D,Dubowsky C,Reilly L,Hannon CV

    更新日期:2013-10-01 00:00:00

  • Multidrug-resistant gram-negative bloodstream infections among residents of long-term care facilities.

    abstract:OBJECTIVE:Prevalence of multidrug-resistant (MDR) gram-negative (GN) bacteria is increasing globally and is complicated by patient movement between acute and long-term care facilities (LTCFs). In Asia, the contribution of LTCFs as a source of MDR GN infections is poorly described. We aimed to define the association bet...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/675823

    authors: Venkatachalam I,Yang HL,Fisher D,Lye DC,Moi Lin L,Tambyah P,Perl TM

    更新日期:2014-05-01 00:00:00

  • Risk of infection due to central venous catheters: effect of site of placement and catheter type.

    abstract:OBJECTIVE:To determine the influence of catheter site and type (single- vs triple-lumen) on infection rates associated with central venous catheterization. DESIGN:Prospective observational study of all nontunneled central venous catheters over a 28-month period. Data collected included patient characteristics, inserti...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647742

    authors: Goetz AM,Wagener MM,Miller JM,Muder RR

    更新日期:1998-11-01 00:00:00

  • Electronic solutions to enhance tracking and compliance with mandatory influenza vaccination for all hospital staff.

    abstract::In implementing a hospital mandatory influenza vaccination policy, we developed an automated, real-time tracking and reminder system. Of 6,957 policy-covered individuals automatically identified, automated reminders left only 5 requiring counseling. This decreased Occupational Health workload in contacting noncomplian...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/678415

    authors: Quan KA,Cousins SM,Hizon DA,Heck KK,Samuelson P,Garcia F Jr,Huang SS

    更新日期:2014-11-01 00:00:00

  • Cost-effectiveness of different screening strategies (single or dual) for the diagnosis of tuberculosis infection in healthcare workers.

    abstract:OBJECTIVE:To evaluate the cost-effectiveness of a dual strategy of tuberculin skin test (TST) and QuantiFERON-TB Gold (QFT-G) for screening of latent tuberculosis infection (LTBI) in healthcare workers (HCWs) and, as a secondary objective, to study relationships between TST results, QFT-G results, and sociodemographic ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/668436

    authors: del Campo MT,Fouad H,Solís-Bravo MM,Sánchez-Uriz MA,Mahíllo-Fernández I,Esteban J

    更新日期:2012-12-01 00:00:00

  • Definitional Change in NHSN CAUTI Was Associated with an Increase in CLABSI Events: Evaluation of a Large Health System.

    abstract::BACKGROUND The National Healthcare Safety Network (NHSN) catheter-associated urinary tract infection (CAUTI) definition was revised as of January 2015 to exclude funguria and lower bacteriuria levels. We evaluated the effect of the CAUTI definition change on NHSN-defined central-line-associated bloodstream infection (...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2017.41

    authors: Fakih MG,Groves C,Bufalino A,Sturm LK,Hendrich AL

    更新日期:2017-06-01 00:00:00

  • Comparative killing kinetics of methicillin-resistant Staphylococcus aureus by bacitracin or mupirocin.

    abstract::The in vitro activities of bacitracin and mupirocin were compared for seven different strains of methicillin-resistant Staphylococcus aureus. Six of seven strains showed bacitracin minimum inhibitory concentrations (MICs) of 0.5 to 1.0 units/mL, and all seven had mupirocin MICs of 0.5 to 2 micrograms/mL. Time-kill stu...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/647270

    authors: Chapnick EK,Gradon JD,Kreiswirth B,Lutwick LI,Schaffer BC,Schiano TD,Levi MH

    更新日期:1996-03-01 00:00:00

  • Annual tuberculin skin testing of employees at a university hospital: a cost-benefit analysis.

    abstract::The usefulness of routine annual tuberculin skin testing (purified protein derivative [PPD]) of hospital employees has been questioned. Between 1984 and the end of 1987 the PPD conversion rates of hospital employees at a university and psychiatric hospital in North Florida were compared. The number of employees in bot...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/645922

    authors: Raad I,Cusick J,Sherertz RJ,Sabbagh M,Howell N

    更新日期:1989-10-01 00:00:00

  • Temporal trends of inpatient C. difficile infections within the Veterans Health Administration hospitals: An analysis of the effect of molecular testing, time to testing, and mandatory reporting.

    abstract:BACKGROUND:Clostridium difficile infection (CDI) is a reportable hospital metric associated with significant healthcare expenditures. The epidemiology of CDI is pivotal to the implementation of preventative measures. OBJECTIVE:To portray temporal CDI trends in Veterans Health Administration (VA) hospitals. DESIGN:A r...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2019.281

    authors: Sumon ZE,Lesse AJ,Sellick JA,Tetewsky S,Mergenhagen KA

    更新日期:2020-01-01 00:00:00

  • The role played by contaminated surfaces in the transmission of nosocomial pathogens.

    abstract::Studies in the 1970s and 1980s suggested that environmental surface contamination played a negligible role in the endemic transmission of healthcare-associated infections. However, recent studies have demonstrated that several major nosocomial pathogens are shed by patients and contaminate hospital surfaces at concent...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章,评审

    doi:10.1086/660363

    authors: Otter JA,Yezli S,French GL

    更新日期:2011-07-01 00:00:00

  • Indirect Versus Direct Standardization Methods for Reporting Healthcare-Associated Infections: An Analysis of Central Line-Associated Bloodstream Infections in Maryland.

    abstract::Whether healthcare-associated infection data should be presented using indirect (current CMS/CDC methodology) or direct standardization remains controversial. We applied both methods to central-line-associated bloodstream infection data from 45 acute-care hospitals in Maryland from 2012 to 2014. We found that the 2 me...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1017/ice.2017.120

    authors: O'Hara LM,Masnick M,Leekha S,Jackson SS,Blanco N,Harris AD

    更新日期:2017-08-01 00:00:00

  • Prevalence of colonization with community-associated methicillin-resistant Staphylococcus aureus among end-stage renal disease patients and healthcare workers.

    abstract:OBJECTIVE:To evaluate the prevalence, epidemiologic features, and molecular characteristics of colonization with community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) among hospitalized dialysis patients and their healthcare workers (HCWs). DESIGN:Prospective observational clinical and laboratory ...

    journal_title:Infection control and hospital epidemiology

    pub_type: 杂志文章

    doi:10.1086/592983

    authors: Johnson LB,Jose J,Yousif F,Pawlak J,Saravolatz LD

    更新日期:2009-01-01 00:00:00