Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-18T10:27:39.390Z Has data issue: false hasContentIssue false

Performance of simplified surgical site infection (SSI) surveillance case definitions for resource limited settings: Comparison to SSI cases reported to the National Healthcare Safety Network, 2013–2017

Published online by Cambridge University Press:  13 March 2020

Matthew D. Westercamp*
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
Margaret A. Dudeck
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
Kathy Allen-Bridson
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
Rebecca Konnor
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
Jonathan R. Edwards
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
Benjamin J. Park
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
Rachel M. Smith
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
*
Author for correspondence: Matthew D. Westercamp, Email: mwestercamp@cdc.gov

Abstract

Surgical site infections (SSIs) are among the most common healthcare-associated infections in low- and middle-income countries. To encourage establishment of actionable and standardized SSI surveillance in these countries, we propose simplified surveillance case definitions. Here, we use NHSN reports to explore concordance of these simplified definitions to NHSN as ‘reference standard.’

Type
Concise Communication
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allegranzi, B, Bagheri Nejad, S Fau, Combescure, C, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet 2011;377:186188.CrossRefGoogle ScholarPubMed
Poulsen, KB, Bremmelgaard, A, Sorensen, AI, Raahave, D, Petersen, JV. Estimated costs of postoperative wound infections. A case-control study of marginal hospital and social security costs. Epidemiol Infect 1994;113:283295.CrossRefGoogle ScholarPubMed
World Health Organization. Prevention of hospital-acquired infections: a practical guide. In: Department of Communicable Disease—Surveillance and Response. Second ed. Geneva, Switzerland: WHO; 2002.Google Scholar
Ayliffe, GA, Casewell, MW, Cookson, BD, et al. National prevalence survey of hospital acquired infections: definitions. A preliminary report of the Steering Group of the Second National Prevalence Survey. J Hosp Infect 1993;24:6976.Google Scholar
Peel, AL, Taylor, EW. Proposed definitions for the audit of postoperative infection: a discussion paper. Surgical Infection Study Group. Ann R Coll Surg Engl 1991;73:385388.Google ScholarPubMed
Bruce, J, Russell, EM, Mollison, J, Krukowski, ZH. The quality of measurement of surgical wound infection as the basis for monitoring: a systematic review. J Hosp Infect 2001;49:99108.CrossRefGoogle ScholarPubMed
National Healthcare Safety Network (NHSN) patient safety component manual, 2017. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/validation/2017/pcsmanual_2017.pdf. Published 2017. Accessed February 10, 2020.Google Scholar