Postdischarge surveillance for nosocomial wound infection: does judicious monitoring find cases?

Abstract:

:From 1988 through 1992, we conducted a prospective study of postdischarge surgical wound infection surveillance in our institution. A total of 6604 patients were seen after discharge in a centralized outpatient clinic, supervised by the infection control commission. Wounds were inspected, stitches were removed, and dressings were changed. This care was followed by referral of patients to the appropriate specialized surgical clinic. Postdischarge patient return rates for the period studied ranged from 68.4% to 91.2%. Wound infection detection in the outpatient clinic ranged from 32.2% (20 patients in 1991) to 50% (44 patients in 1990) for general surgical procedures and 52.9% (18 patients in 1990) to 91.4% (32 patients in 1992) for cesarean sections. Most surgical wound infections (87.6%, 127 patients) were diagnosed between the first and fourteenth postoperative days. We conclude that centralized postdischarge surveillance, as practiced in our institution, has enhanced the retrieval of wound infection data. At present, there is no universally accepted strategy for monitoring postdischarge surgical wound infection; however, we must take a rigorous approach to detect patients at risk for infection in our continuous attempt to improve the quality of surgical and postoperative care.

journal_name

Am J Infect Control

authors

Ferraz EM,Ferraz AA,Coelho HS,Pereira Viana VP,Sobral SM,Vasconcelos MD,Bacelar TS

doi

10.1016/0196-6553(95)90059-4

subject

Has Abstract

pub_date

1995-10-01 00:00:00

pages

290-4

issue

5

eissn

0196-6553

issn

1527-3296

pii

0196-6553(95)90059-4

journal_volume

23

pub_type

杂志文章
  • The first point prevalence survey of health care-associated infection and antimicrobial use in a Japanese university hospital: A pilot study.

    abstract:BACKGROUND:Point prevalence surveys (PPSs) in Japanese hospitals have not yet been reported. The purpose of this pilot PPS study was to evaluate the epidemiology of health care-associated infections (HAIs) and antimicrobial use in a Japanese tertiary university hospital. METHODS:A 1-day, cross-sectional PPS was perfor...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.03.045

    authors: Morioka H,Hirabayashi A,Iguchi M,Tomita Y,Kato D,Sato N,Hyodo M,Kawamura N,Sadomoto T,Ichikawa K,Inagaki T,Kato Y,Kouyama Y,Ito Y,Yagi T

    更新日期:2016-07-01 00:00:00

  • A comparison of the incidence of midline catheter-associated bloodstream infections to that of central line-associated bloodstream infections in 5 acute care hospitals.

    abstract::In a retrospective study conducted over 12 months in a multi-hospital system, the incidence of bloodstream infections associated with midline catheters was not significantly lower than that associated with central venous catheters (0.88 vs 1.10 infections per 1,000 catheter-days). Additional research is needed to furt...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.11.004

    authors: Hogle NJ,Balzer KM,Ross BG,Wuerz L,Greendyke WG,Furuya EY,Simon MS,Calfee DP

    更新日期:2020-09-01 00:00:00

  • Cleaning the air with ultraviolet germicidal irradiation lessened contact infections in a long-term acute care hospital.

    abstract:BACKGROUND:This study was designed to determine whether removing bacteria from the air with ultraviolet germicidal irradiation (UV-C) at the room level would reduce infection rates. METHODS:We reviewed infection data for 12 months before and after UV-C installation in the special care unit (SCU) of a long-term acute c...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.11.008

    authors: Ethington T,Newsome S,Waugh J,Lee LD

    更新日期:2018-05-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus contamination of hospital-use-only mobile phones and efficacy of 222-nm ultraviolet disinfection.

    abstract:BACKGROUND:Mobile phones may be contaminated with nosocomial pathogens such as methicillin-resistant Staphylococcus aureus (MRSA). The aim of this study was to investigate the MRSA contamination rate on doctors' hospital-use-only mobile phones and the efficacy of 222-nm ultraviolet light (UV) disinfection. METHODS:We ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.11.011

    authors: Kaiki Y,Kitagawa H,Hara T,Nomura T,Omori K,Shigemoto N,Takahashi S,Ohge H

    更新日期:2020-11-10 00:00:00

  • Current issues in hand hygiene.

    abstract::Although substantial improvements in hand hygiene practices have occurred in recent years, many health care facilities continue to encounter challenges in achieving and maintaining high levels of hand hygiene compliance. Issues of current interest include the optimum dose of alcohol-based handrub (ABHR) that should be...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajic.2019.03.024

    authors: Boyce JM

    更新日期:2019-06-01 00:00:00

  • Errors committed by nursing technicians and assistants in administering antibiotics.

    abstract:BACKGROUND:Success in any antibiotic treatment depends on many factors, including the associated preparation procedures and the nursing care management. OBJECTIVE:The aim of this research was to analyze errors in nursing procedures in the use of cefepime. METHODS:A survey was performed in the adult patients' wing of ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.08.011

    authors: Hoefel HH,Lautert L

    更新日期:2006-09-01 00:00:00

  • Reduction in inappropriate prevention of urinary tract infections in long-term care facilities.

    abstract:BACKGROUND:Urinary tract infection (UTI) is the most common diagnosis made in prescribing antimicrobials in long-term care facilities (LTCF). The diagnostic criteria for UTI vary among institutions and prescribers. Our aim was to reduce the inappropriate use of antimicrobials in LTCFs. METHODS:A team comprising infect...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.09.013

    authors: Rummukainen ML,Jakobsson A,Matsinen M,Järvenpää S,Nissinen A,Karppi P,Lyytikäinen O

    更新日期:2012-10-01 00:00:00

  • Impact of a single safety-engineered device on the occurrence of percutaneous injuries in a general hospital in Brazil.

    abstract:BACKGROUND:Health care workers are exposed to bloodborne pathogens through occupational injuries, and the replacement of sharps by safety-engineered devices has been recommended as a key preventive measure. This recommendation has been difficult to implement in Brazil. METHODS:We conducted a retrospective study of sel...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.07.017

    authors: Menezes JA,Bandeira CS,Quintana M,de Lima E Silva JC,Calvet GA,Brasil P

    更新日期:2014-02-01 00:00:00

  • Automated washing with the Reliance Endoscope Processing System and its equivalence to optimal manual cleaning.

    abstract:BACKGROUND:Manual cleaning of flexible endoscopes is prone to error. To date, attempts to automate this process have been unsuccessful. The aim of this project was to compare the efficacy of the washing phase in the new Reliance EPS (STERIS Corp, Mentor, OH) with that of optimal manual cleaning. METHODS:Using simulate...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2006.01.010

    authors: Alfa MJ,Olson N,DeGagne P

    更新日期:2006-11-01 00:00:00

  • Isolation of Burkholderia cenocepacia J 2315 from non-cystic fibrosis pediatric patients in India.

    abstract::We report for the first time 2 cases of multidrug-resistant Burkholderia cenocepacia J2315 isolated from blood samples of patients without cystic fibrosis from a pediatric unit in a hospital in India. The first patient presented with community-acquired bacteremia, and the second patient was immunocompromised and devel...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2010.10.034

    authors: Satpute MG,Telang NV,Dhakephalkar PK,Niphadkar KB,Joshi SG

    更新日期:2011-05-01 00:00:00

  • Face touching in the time of COVID-19 in Shiraz, Iran.

    abstract:BACKGROUND:Iranian were advice to wear a mask and not touch their face during COVID-19 restrictions in Iran. METHODS:One-thousand people were observed for 15-30 minutes in public places between April 22 and May 9, 2020. The average number of touches to the mucosal zone was calculated per hour and mask wearers (N = 568...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.08.009

    authors: Shiraly R,Shayan Z,McLaws ML

    更新日期:2020-12-01 00:00:00

  • Chlorhexidine gluconate bathing practices and skin concentrations in intensive care unit patients.

    abstract::In this 2-phase real-world evaluation of chlorhexidine gluconate (CHG) skin concentrations in intensive care unit patients, we found lower skin CHG concentrations when rinsing with water after CHG solution bath (compared with no rinse), but no significant difference in concentrations between the use of CHG solution wi...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.08.022

    authors: Alserehi H,Filippell M,Emerick M,Cabunoc MK,Preas MA,Sparkes C,Johnson JK,Leekha S,CDC Prevention Epicenter Program.

    更新日期:2018-02-01 00:00:00

  • Routine monitoring of adenovirus and norovirus within the health care environment.

    abstract::This study investigated the presence of adenovirus and norovirus on ward surfaces using real-time polymerase chain reaction (PCR) to assist in the development of evidence-based infection control policy. Screening was carried out weekly for 6 months in the common areas of 2 pediatric wards. Additionally, a one-off scre...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2014.07.028

    authors: Pankhurst L,Cloutman-Green E,Canales M,D'Arcy N,Hartley JC

    更新日期:2014-11-01 00:00:00

  • Effectiveness of a hand hygiene promotion strategy using alcohol-based handrub in 6 intensive care units in Colombia.

    abstract:BACKGROUND:Hand hygiene is an effective strategy for the prevention of health care-associated infection (HAI). We investigated the effect of a hand hygiene promotion strategy introducing alcohol-based handrub (AHBR) on the incidence of HAI in a university hospital in Colombia. METHODS:A Prospective cohort study was pe...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2010.11.004

    authors: Barrera L,Zingg W,Mendez F,Pittet D

    更新日期:2011-10-01 00:00:00

  • Hospital-acquired meningitis in patients undergoing craniotomy: incidence, evolution, and risk factors.

    abstract:OBJECTIVES:To establish the incidence of postcraniotomy meningitis, identify etiologic agents, assess patients' medical progress in relation to both length of hospitalization and mortality, and analyze risk factors. MATERIAL AND METHODS:This study was developed at Hospital São Paulo, a tertiary university hospital, be...

    journal_title:American journal of infection control

    pub_type: 临床试验,杂志文章

    doi:10.1067/mic.2002.119925

    authors: Reichert MC,Medeiros EA,Ferraz FA

    更新日期:2002-05-01 00:00:00

  • Staffing requirements for infection control programs in US health care facilities: Delphi project.

    abstract:BACKGROUND:The guideline for staffing infection control programs of 1 infection control professional (ICP) for every 250 occupied acute care beds has been used in many health care facilities in the United States since 1985. Since that time, the health care system, patient populations, and expectations about the work of...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2002.127930

    authors: O'Boyle C,Jackson M,Henly SJ

    更新日期:2002-10-01 00:00:00

  • Low rates of influenza vaccination uptake among healthcare workers: Distinguishing barriers between occupational groups.

    abstract:BACKGROUND:To gain further insights into health care workers (HCWs) attitudes toward influenza vaccination to guide future interventions to increase vaccination rates. METHODS:A standardized anonymous questionnaire was sent to all employees of the University Hospital Basel, Switzerland following the influenza season 2...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.02.004

    authors: Durovic A,Widmer AF,Dangel M,Ulrich A,Battegay M,Tschudin-Sutter S

    更新日期:2020-10-01 00:00:00

  • Catheter-associated bloodstream infections: looking outside of the ICU.

    abstract:BACKGROUND:Current recommendations for the prevention of central venous catheter-associated bloodstream infections (CA-BSIs) are mostly based on data from intensive care units (ICUs). The rates of CA-BSIs appear to be higher in non-ICU wards. Until this year, no published data were available on non-ICU CA-BSIs in the U...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.10.005

    authors: Marschall J

    更新日期:2008-12-01 00:00:00

  • Urosepsis associated with videourodynamic studies.

    abstract::Videourodynamic studies (VUS) of the lower urinary tract are useful in the evaluation of complicated voiding dysfunctions. These studies involve placement of urethral and rectal catheters, measurement of pressures during bladder filling and voiding, and simultaneous fluoroscopic cystourethrography. A cluster of five c...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(84)90044-0

    authors: Talbot GH,Doorley M,Banner MP

    更新日期:1984-10-01 00:00:00

  • Effect of silver-coated urinary catheters: efficacy, cost-effectiveness, and antimicrobial resistance.

    abstract:BACKGROUND:Urinary tract infections (UTIs) are the most common nosocomial infection experienced by patients in United States hospitals and are responsible for significant morbidity and excess hospital costs. The purpose of this study was to determine the efficacy of a silver alloy, hydrogel-coated, urinary catheter in ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2004.05.002

    authors: Rupp ME,Fitzgerald T,Marion N,Helget V,Puumala S,Anderson JR,Fey PD

    更新日期:2004-12-01 00:00:00

  • Intestinal microbiome disruption in patients in a long-term acute care hospital: A case for development of microbiome disruption indices to improve infection prevention.

    abstract:BACKGROUND:Composition and diversity of intestinal microbial communities (microbiota) are generally accepted as a risk factor for poor outcomes; however, we cannot yet use this information to prevent adverse outcomes. METHODS:Stool was collected from 8 long-term acute care hospital patients experiencing diarrhea and 2...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.01.003

    authors: Halpin AL,de Man TJ,Kraft CS,Perry KA,Chan AW,Lieu S,Mikell J,Limbago BM,McDonald LC

    更新日期:2016-07-01 00:00:00

  • Challenges for environmental hygiene practices in Australian paramedic-led health care: A brief report.

    abstract::This study explored the self-reported behaviors and perceptions of Australian paramedics in relation to their environmental hygiene practices. A national online survey was conducted with Paramedics Australasia members (N = 417). Participants reported working in ambulances often contaminated with body fluids. Widesprea...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.11.007

    authors: Barr N,Holmes M,Roiko A,Dunn P,Lord B

    更新日期:2018-06-01 00:00:00

  • Preventing catheter-associated urinary tract infections: An executive summary of the Association for Professionals in Infection Control and Epidemiology, Inc, Elimination Guide.

    abstract::The Association for Professionals in Infection Control and Epidemiology (APIC) began publishing their series of Elimination Guides in 2007. Since then, 9 Elimination Guides have been developed that cover a range of important infection prevention issues, including the prevention of catheter-related bloodstream infectio...

    journal_title:American journal of infection control

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.ajic.2010.08.003

    authors: Rebmann T,Greene LR

    更新日期:2010-10-01 00:00:00

  • Policies to increase influenza and pneumococcal immunizations in chronically ill and institutionalized settings.

    abstract:BACKGROUND:The objective of this study was to understand better the status of and ways to improve dissemination of influenza and pneumococcal standing-order vaccination policies to at-risk adults in health care institutions. METHODS:A statewide sample of 5 different types of institutions serving at-risk elderly person...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.01.008

    authors: Goldstein AO,Kincade JE,Resnick JE,Gamble G,Bearman RS

    更新日期:2005-10-01 00:00:00

  • Bacteremia caused by multidrug-resistant bacteria in a French university hospital center: 3 years of collection.

    abstract:BACKGROUND:The aim of the study was to describe the profile of patients and the characteristics of all bacteremias caused by multidrug-resistant (MDR) bacterial strains in a teaching hospital and to assess the mortality related to these events. METHODS:A monocentric retrospective observational cohort study was conduct...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2015.05.004

    authors: Picot-Guéraud R,Batailler P,Caspar Y,Hennebique A,Mallaret MR

    更新日期:2015-09-01 00:00:00

  • National Infection Control Program in Turkey: The healthcare associated infection rate experiences over 10 years.

    abstract:BACKGROUND:The prevalence of healthcare associated infection (HAI) is generally higher in countries with limited resources than developed countries. To address the high prevalence of HAI, Turkish Ministry of Health introduced a national infection control program in 2005. METHODS:Device associated (DA)-HAIs routinely s...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.12.013

    authors: Gozel MG,Hekimoglu CH,Gozel EY,Batir E,McLaws ML,Mese EA

    更新日期:2020-12-25 00:00:00

  • US university response to H1N1: a study of access to online preparedness and response information.

    abstract:BACKGROUND:The recent outbreaks of severe acute respiratory syndrome, H5N1 (avian influenza), and, most recently, the novel H1N1 influenza pandemic of 2009 have raised awareness of the danger of new and emerging infections. Preparedness and response plans for such outbreaks are crucial, and given the centrality of the ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.02.021

    authors: Schwartz RD,Bayles BR

    更新日期:2012-03-01 00:00:00

  • Virucidal activity of ortho-phthalaldehyde solutions against hepatitis B and C viruses.

    abstract::Ortho-phthalaldehyde (OPA), a high-level disinfectant alternative to glutaraldehyde, was tested for efficacy against human hepatitis B virus (HBV) and hepatitis C virus (HCV) using surrogate animal viruses. HBV and HCV are the most prevalent human bloodborne viruses but have not yet been propagated in the laboratory. ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2007.08.005

    authors: Roberts CG,Chan-Myers HB,Favero MS

    更新日期:2008-04-01 00:00:00

  • Preventing methicillin-resistant Staphylococcus aureus transmission in long-term care facilities: an executive summary of the APIC Elimination Guide.

    abstract::This article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococc...

    journal_title:American journal of infection control

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.ajic.2010.10.008

    authors: Rebmann T,Aureden K,Association for Professionals in Infection Control and Epidemiology.

    更新日期:2011-04-01 00:00:00

  • Fluid dispersal from safety cannulas: an in vitro comparative test.

    abstract::We report a comparative laboratory study between 2 peripheral intravenous catheters equipped with a passive fully automatic safety mechanism to assess generation of blood droplets during withdrawal. One presented no fluid droplets, whereas the other presented droplets in 48% and 60% for the best and worst case, with a...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2014.11.020

    authors: Rosenthal VD,Hughes G

    更新日期:2015-03-01 00:00:00