Details:

Alternative Title:
Emerg Infect Dis
Publisher's site:
http://dx.doi.org/10.3201/eid1011.040572
Personal Author:
Yokoe, Deborah S. ; Noskin, Gary A. ; Cunningham, Susan M. ; Zuccotti, Gianna ; Plaskett, Theresa ; ... More +
Yokoe, Deborah S. ; Noskin, Gary A. ; Cunningham, Susan M. ; Zuccotti, Gianna ; Plaskett, Theresa ; Fraser, Victoria J. ; Olsen, Margaret A. ; Tokars, Jerome I. ; Solomon, Steven ; Perl, Trish M. ; Cosgrove, Sara E. ; Tilson, Richard S. ; Greenbaum, Maurice ; Hooper, David C. ; Sands, Kenneth E. ; Tully, John ; Herwaldt, Loreen A. ; Diekema, Daniel J. ; Wong, Edward S. ; Climo, Michael ; Platt, Richard Less -
Description:
We evaluated antimicrobial exposure, discharge diagnoses, or both to identify surgical site infections (SSI). This retrospective cohort study in 13 hospitals involved weighted, random samples of records from 8,739 coronary artery bypass graft (CABG) procedures, 7,399 cesarean deliveries, and 6,175 breast procedures. We compared routine surveillance to detection through inpatient antimicrobial exposure (> 9 days for CABG, > 2 days for cesareans, and > 6 days for breast procedures), discharge diagnoses, or both. Together, all methods identified SSI after 7.4% of CABG, 5.0% of cesareans, and 2.0% of breast procedures. Antimicrobial exposure had the highest sensitivity, 88%-91%, compared with routine surveillance, 38%-64%. Diagnosis codes improved sensitivity of detection of antimicrobial exposure after cesareans. Record review confirmed SSI after 31% to 38% of procedures that met antimicrobial surveillance criteria. Sufficient antimicrobial exposure days, together with diagnosis codes for cesareans, identified more postoperative SSI than routine surveillance methods. This screening method was efficient, readily standardized, and suitable for most hospitals.
Subject:
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Anti-Bacterial Agents
Cesarean Section
Coronary Artery Bypass
Cross Infection
Humans
Inpatients
Mammaplasty
Patient Discharge
Population Surveillance
Research
Surgical Wound Infection

Source:
Emerg Infect Dis. 10(11):1924-1930.
Document Type:
Journal Article
Funding:
UR8CCU-115079/CC/ODCDC CDC HHS/United States ; UR8CCU-215090/CC/ODCDC CDC HHS/United States ; UR8CCU-515081/CC/ODCDC CDC HHS/United States ; UR8CCU-715087/CC/ODCDC CDC HHS/United States ; UR8CCU-715091/CC/ODCDC CDC HHS/United States ; ... More +
UR8CCU-115079/CC/ODCDC CDC HHS/United States ; UR8CCU-215090/CC/ODCDC CDC HHS/United States ; UR8CCU-515081/CC/ODCDC CDC HHS/United States ; UR8CCU-715087/CC/ODCDC CDC HHS/United States ; UR8CCU-715091/CC/ODCDC CDC HHS/United States ; URCCU-315092/RC/CCR NIH HHS/United States ; URCCU-315346/RC/CCR NIH HHS/United States Less -
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:65f1719107d062041367dce8ea32796409c5c70ceb082bc2dbe13413787e6eb3
File Type:

Supporting Files

• 	04-0572.nxml	txt
  	license.txt	txt

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