International Nosocomial Infection Control Consortium (INICC) report of health care-associated infections, data summary of 25 countries for 2014 to 2023, Surgical Site Infections Module

Copyright © 2024 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved..

BACKGROUND: Surgical site infection (SSI) rates are higher in low-resource countries (LRC) than in high-income counterparts.

METHODS: Prospective cohort study using the INICC Surveillance Online System, from 116 hospitals in 75 cities across 25 Latin-American, Asian, Eastern-European, and Middle-Eastern countries: Argentina, Bahrain, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Egypt, Honduras, India, Kosovo, Kuwait, Lebanon, Mexico, Mongolia, Pakistan, Papua New Guinea, Philippines, Poland, Romania, Saudi Arabia, Thailand, Turkey, Venezuela, Vietnam. CDC/NHSN definitions were applied. Surgical procedures (SPs) were categorized according to the International Classification of Diseases criteria.

RESULTS: From 2014 to 2023, we collected data on 1,251 SSIs associated with 56,617 SPs. SSI rates were significantly higher in SPs of INICC compared to CDC/NHSN data: hip prosthesis (3.68% vs 0.67%, relative risk [RR]=5.46, 95% confidence interval [CI]=3.71-8.03, P<.001), knee prosthesis (2.02% vs 0.58%, RR=3.49, 95% CI=1.87-6.49, P<.001), coronary artery bypass (4.16% vs 1.37%, RR=3.03, 95% CI=2.35-3.91, P<.001), peripheral vascular bypass (15.69% vs 2.93%, RR=5.35, 95% CI=2.30-12.48, P<.001), abdominal aortic aneurysm repair (8.51% vs 2.12%, RR=4.02, 95% CI=2.11-7.65, P<.001), spinal fusion (6.47% vs 0.70%, RR=9.27, 95% CI=6.21-13.84, P<.001), laminectomy (2.68% vs 0.72%, RR=3.75, 95% CI=2.36-5.95, P<.001), among others.

CONCLUSIONS: Elevated SSI rates in LRCs emphasize the need for effective interventions.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

American journal of infection control - (2024) vom: 09. Apr.

Sprache:

Englisch

Beteiligte Personen:

Rosenthal, Victor Daniel [VerfasserIn]
Yin, Ruijie [VerfasserIn]
Jin, Zhilin [VerfasserIn]
Alkhawaja, Safaa Abdulaziz [VerfasserIn]
Zuñiga-Chavarria, Maria Adelia [VerfasserIn]
Salgado, Estuardo [VerfasserIn]
El-Kholy, Amani [VerfasserIn]
Zuniga Moya, Julio C [VerfasserIn]
Patil, Priyanka [VerfasserIn]
Nadimpalli, Gita [VerfasserIn]
Pattabhiramarao, Rao Nadimpalli [VerfasserIn]
Zala, Dolatsinh [VerfasserIn]
Villegas-Mota, Isabel [VerfasserIn]
Ider, Bat-Erdene [VerfasserIn]
Tumu, Nellie [VerfasserIn]
Duszynska, Wieslawa [VerfasserIn]
Nguyet, Le Thi Thu [VerfasserIn]
Nair, Pravin K [VerfasserIn]
Memish, Ziad A [VerfasserIn]

Links:

Volltext

Themen:

Antibiotic resistance
Journal Article
Low-income countries
Nosocomial infection
Surgical site infection

Anmerkungen:

Date Revised 28.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.ajic.2024.04.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370937600