Comprehensive surveillance of surgical wound infections in outpatient and inpatient surgery.

Abstract:

:A surgeon-specific computer-generated monthly questionnaire was used to improve surveillance of surgical wound infections in outpatients as well as inpatients following discharge. From July 1988 through June 1989, 20,536 surgical procedures were performed at our medical center, of which 53% were for outpatients. The total wound infection rate was 0.63%: 0.13% in outpatients and 1.2% in inpatients (p less than .005). Of the infected wounds, 20% were reported by the survey alone and would have gone undetected by conventional surveillance methods (71.4% of outpatient and 13.8% of inpatient wound infections). As a whole, clean and clean-contaminated wounds in outpatients were much less likely to become infected than those in inpatients. Wound cultures were not obtained in 85% of infections reported by the survey alone, and were less likely to be obtained in outpatients. The average time spent by the infection control department on the survey was approximately two hours per week.

authors

Manian FA,Meyer L

doi

10.1086/646084

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

515-20

issue

10

eissn

0899-823X

issn

1559-6834

pii

S0195941700018361

journal_volume

11

pub_type

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