Active prospective surveillance study with post-discharge surveillance of surgical site infections in Cambodia

Active prospective surveillance study with post-discharge surveillance of surgical site infections in Cambodia

Blog Article

Summary: Barriers to the implementation of the Centers for Disease Control and Prevention Creator T-Shirt (CDC) guidelines for surgical site infection (SSI) surveillance have been described in resource-limited settings.This study aimed to estimate the SSI incidence rate in a Cambodian hospital and to compare different modalities of SSI surveillance.We performed an active prospective study with post-discharge surveillance.During the hospital stay, trained surveyors collected the CDC criteria to identify SSI by direct examination of the surgical site.

After discharge, a card was given to each included patient to be presented to all practitioners examining the surgical site.Among 167 patients, direct examination of the surgical site identified a cumulative incidence rate of 14 infections per 100 patients.An independent review of medical charts presented a sensitivity of 16%.The sensitivity of the purulent drainage criterion to detect SSIs was 83%.

After hospital discharge, 87% of the patients provided follow-up data, and nine purulent drainages were reported by a practitioner (cumulative incidence rate: 20%).Overall, the incidence rate was dependent on the surveillance modalities.The review of medical charts to identify SSIs during hospitalization was not effective; the use of a follow-up card with phone calls for post-discharge surveillance was effective.Keywords: Surgical wound One-of-a-kind Hair-On Hides infection, Cambodia, Infection control, Developing countries, Follow-up studies, Feasibility studies.