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Routine Surveillance Versus Independent Assessment by an Outcome Adjudication Committee in Assessing Patients for Sternal Surgical Site Infections After Cardiac Surgery

  • Dominik Mertz (a1) (a2), Richard Whitlock (a1) (a2) (a3), Alicia Y. Kokoszka (a3), Stephanie W. Smith (a4), Alex Carignan (a5), Muhammad Rehan (a1), Iqbal H. Jaffer (a1) (a6), Ali Alsagheir (a1) and Mark Loeb (a1) (a2)...

Abstract

Based on a cohort of 966 patients, routine surveillance data were not sufficiently accurate for use in clinical trials investigating surgical site infections. Surveillance data can only be used if adequate 90-day follow-up is provided and if cases identified by surveillance are independently reviewed by a blinded outcome adjudication committee.

Infect Control Hosp Epidemiol 2016;37:600–602

Copyright

Corresponding author

Address correspondence to Dr. Dominik Mertz, MD, MSc, Juravinski Hospital and Cancer Center, 711 Concession Street, Section M, Level 1, Room 3, Hamilton, ON, Canada (mertzd@mcmaster.ca).

Footnotes

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PREVIOUS PRESENTATION. An abstract of the findings was presented at ID Week, October 8, 2015, San Diego, California.

Footnotes

References

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1. Surveillance definitions for specific types of infections. Center for Disease Control and Prevention/National Healthcare Safety Network (CDC/NHSN) website. http://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf. Accessed September 1, 2015.
2. Niederhauser, U, Vogt, M, Vogt, P, Genoni, M, Kunzli, A, Turina, MI. Cardiac surgery in a high-risk group of patients: is prolonged postoperative antibiotic prophylaxis effective? J Thoracic Cardiovasc Surg 1997;114:162168.
3. Tamayo, E, Gualis, J, Florez, S, Castrodeza, J, Eiros Bouza, JM, Alvarez, FJ. Comparative study of single-dose and 24-hour multiple-dose antibiotic prophylaxis for cardiac surgery. J Thoracic Cardiovasc Surg 2008;136:15221527.
4. Gupta, A, Hote, MP, Choudhury, M, Kapil, A, Bisoi, AK. Comparison of 48 h and 72 h of prophylactic antibiotic therapy in adult cardiac surgery: a randomized double blind controlled trial. J Antimicrob Chemother 2010;65:10361041.
5. Saginur, R, Croteau, D, Bergeron, MG. Comparative efficacy of teicoplanin and cefazolin for cardiac operation prophylaxis in 3027 patients. J Thoracic Cardiovasc Surg 2000;120:11201130.
6. Eklund, AM, Valtonen, M, Werkkala, KA. Prophylaxis of sternal wound infections with gentamicin-collagen implant: randomized controlled study in cardiac surgery. J Hosp Infect 2005;59:108112.
7. Walsh, EE, Greene, L, Kirshner, R. Sustained reduction in methicillin-resistant Staphylococcus aureus wound infections after cardiothoracic surgery. Arch Intern Med 2011;171:6873.
8. Niedner, MF. The harder you look, the more you find: catheter-associated bloodstream infection surveillance variability. Am J Infect Control 2010;38:585595.
9. Petherick, ES, Dalton, JE, Moore, PJ, Cullum, N. Methods for identifying surgical wound infection after discharge from hospital: a systematic review. BMC Infect Dis 2006;6:170.
10. Bianco, A, Roccia, S, Nobile, CG, Pileggi, C, Pavia, M. Postdischarge surveillance following delivery: the incidence of infections and associated factors. Am J Infect Control 2013;41:549553.

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