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Surgical Site Infections, International Nosocomial Infection Control Consortium (INICC) Report, Data Summary of 30 Countries, 2005–2010

Published online by Cambridge University Press:  02 January 2015

Victor D. Rosenthal*
International Nosocomial Infection Control Consortium, Buenos Aires, Argentina
Rosana Richtmann
Hospital Maternidade Santa Joana, São Paulo, Brazil
Sanjeev Singh
Amrita Institute of Medical Sciences, and Research Center, Kochi, India
Anucha Apisarnthanarak
Thammasart University Hospital, Pratumthani, Thailand
Andrzej Kübler
University Hospital of Wroclaw, Wroclaw, Poland
Nguyen Viet-Hung
Bach Mai Hospital, Hanoi, Vietnam
Fernando M. Ramírez-Wong
Hospital de Emergencias José Casimiro Ulloa, Lima, Peru
Jorge H. Portillo-Gallo
CIMA, Chihuahua, Mexico
Jessica Toscani
Sanatorio Amedrin, Fray Bentos, Uruguay
Achilleas Gikas
University Hospital of Heraklion, Heraklion, Greece
Lourdes Dueñas
Hospital Nacional de Niños Benjamin Bloom, San Salvador, El Salvador
Amani El-Kholy
Dar Al Fouad Hospital, Cairo, Egypt
Sameeh Ghazal
King Fahad Medical City, Riyadh, Saudi Arabia
Dale Fisher
National University Hospital, Singapore, Republic of Singapore
Zan Mitrev
Filip II Special Hospital for Surgery, Skopje, Macedonia
May Osman Gamar-Elanbya
Bahry Teaching Hospital, Khartoum, Sudan Khartoum Dental Teaching Hospital, Khartoum, Sudan
Souha S. Kanj
American University of Beirut Medical Center, Beirut, Lebanon
Yolanda Arreza-Galapia
National Kidney and, Transplant Institute, Quezon City, Philippines
Hakan Leblebicioglu
Ondokuz Mayis University Medical School, Samsun, Turkey
Soňa Hlinková
Catholic University, Faculty of Medicine, Ružomberok, Slovakia Military Hospital SNP Ružomberok, Ružomberok, Slovakia
Badaruddin A. Memon
Public Sector Hospital Khairpur, Sindh, Pakistan
Humberto Guanche-Garcell
Hospital Docente Clínico Quirúrgico “Joaquín Albarrán Domínguez, ” Havana, Cuba
Vaidotas Gurskis
Lithuanian University of Health Sciences, Kaunas, Lithuania
Carlos Álvarez-Moreno
Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia
Amina Barkat
Children's Hospital of Rabat, Rabat, Morocco
Nepomuceno Mejía
Hospital General de la Plaza de la Salud, Santo Domingo, Dominican Republic
Magda Rojas-Bonilla
Hospital de Especialidades Pediátricas “Omar Torrijos Herrera, ”Panama City, Panama
Goran Ristic
Mother and Child Health Institute of Serbia, Belgrade, Serbia
Lul Raka
National Institute for Public Health of Kosovo and Medical School, Prishtina University, Prishtina, Kosovo
Cheong Yuet-Meng
Sunway Medical Centre Berhad and, Monash University Sunway Campus, Petaling Jaya, Malaysia
International Nosocomial Infection Control Consortium, Corrientes Avenue #4580, Floor 12, Apartment D, Buenos Aires 1195, Argentina (



To report the results of a surveillance study on surgical site infections (SSIs) conducted by the International Nosocomial Infection Control Consortium (INICC).


Cohort prospective multinational multicenter surveillance study.


Eighty-two hospitals of 66 cities in 30 countries (Argentina, Brazil, Colombia, Cuba, Dominican Republic, Egypt, Greece, India, Kosovo, Lebanon, Lithuania, Macedonia, Malaysia, Mexico, Morocco, Pakistan, Panama, Peru, Philippines, Poland, Salvador, Saudi Arabia, Serbia, Singapore, Slovakia, Sudan, Thailand, Turkey, Uruguay, and Vietnam) from 4 continents (America, Asia, Africa, and Europe).


Patients undergoing surgical procedures (SPs) from January 2005 to December 2010.


Data were gathered and recorded from patients hospitalized in INICC member hospitals by using the methods and definitions of the Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) for SSI. SPs were classified into 31 types according to International Classification of Diseases, Ninth Revision, criteria.


We gathered data from 7,523 SSIs associated with 260,973 SPs. SSI rates were significantly higher for most SPs in INICC hospitals compared with CDC-NHSN data, including the rates of SSI after hip prosthesis (2.6% vs 1.3%; relative risk [RR], 2.06 [95% confidence interval (CI), 1.8–2.4]; P<.001), coronary bypass with chest and donor incision (4.5% vs 2.9%; RR, 1.52 [95% CI, 1.4–1.6]; P<.001); abdominal hysterectomy (2.7% vs 1.6%; RR, 1.66 [95% CI, 1.4–2.0]; P<.001); exploratory abdominal surgery (4.1 % vs 2.0%; RR, 2.05 [95% CI, 1.6–2.6]; P<.001); ventricular shunt, 12.9% vs 5.6% (RR, 2.3 [95% CI, 1.9–2.6]; P<.001), and others.


SSI rates were higher for most SPs in INICC hospitals compared with CDC-NHSN data.

Original Article
Copyright © The Society for Healthcare Epidemiology of America 2013

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