Hakan Leblebicioglu1, Nurettin Erben2, Victor D Rosenthal3, Alper Sener4, Cengiz Uzun5, Gunes Senol6, Gulden Ersoz7, Tuna Demirdal8, Fazilet Duygu9, Ayse Willke10, Fatma Sirmatel11, Nefise Oztoprak12, Iftihar Koksal13, Oral Oncul14, Yunus Gurbuz15, Ertugrul Güçlü16, Huseyin Turgut17, Ata Nevzat Yalcin18, Davut Ozdemir19, Tanil Kendirli20, Turan Aslan21, Saban Esen1, Fatma Ulger1, Ahmet Dilek1, Hava Yilmaz1, Mustafa Sunbul1, Ilhan Ozgunes2, Gaye Usluer2, Metin Otkun4, Ali Kaya7, Necdet Kuyucu7, Zeynep Kaya7, Meliha Meric10, Emel Azak10, Gürdal Yýlmaz13, Selçuk Kaya13, Hülya Ulusoy13, Tuncer Haznedaroglu14, Levent Gorenek14, Ali Acar14, Ediz Tutuncu15, Oguz Karabay16, Gulsume Kaya16, Suzan Sacar17, Hülya Sungurtekin17, Doğaç Uğurcan17, Ozge Turhan18, Sehnaz Kaya18, Eylul Gumus18, Oguz Dursun18, Mehmet Faruk Geyik19, Ahmet Şahin19, Selvi Erdogan19, Erdal Ince20, Adem Karbuz20, Ergin Çiftçi20, Nevin Taşyapar20, Melek Güneş20. 1. Department of Infectious Diseases, Ondokuz Mayis University Medical School, Samsun, Turkey. 2. Department of Infectious Diseases, Eskisehir Osmangazi University, Eskisehir, Turkey. 3. Department of Infectious Diseases, International Nosocomial Infection Control Consortium, Buenos Aires, Argentina. Electronic address: victor_rosenthal@inicc.org. 4. Department of Infectious Diseases, Onsekiz Mart University Canakkale, Canakkale, Turkey. 5. Department of Infectious Diseases, German Hospital, Istanbul, Turkey. 6. Department of Infectious Diseases, Izmir Chest Diseases and Chest Surgery Training Hospital, Izmir, Turkey. 7. Department of Infectious Diseases, Mersin University, Faculty of Medicine, Mersin, Turkey. 8. Department of Infectious Diseases, Izmir Katip Celebi University, Izmir, Turkey. 9. Department of Infectious Diseases, Tokat State Hospital, Tokat, Turkey. 10. Department of Infectious Diseases, Kocaeli University Faculty of Medicine, Kocaeli, Turkey. 11. Department of Infectious Diseases, Abant Izzet Baysal University, Medical Faculty, Bolu, Turkey. 12. Department of Infectious Diseases, Antalya Education and Research Hospital, Antalya, Turkey. 13. Department of Infectious Diseases, Karadeniz Technical University, Trabzon, Turkey. 14. Department of Infectious Diseases, Gulhane Military Medical Academy, Istanbul, Turkey. 15. Department of Infectious Diseases, SB Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. 16. Department of Infectious Diseases, Sakarya University Education and Research Hospital, Sakarya, Turkey. 17. Department of Infectious Diseases, Pamukkale University Faculty of Medicine, Denizli, Turkey. 18. Department of Infectious Diseases, Akdeniz University, Antalya, Turkey. 19. Department of Infectious Diseases, Infectious Diseases and Clinical Microbiology, Duzce University Medical School, Duzce, Turkey. 20. Department of Infectious Diseases, Ankara University School of Medicine, Ankara, Turkey. 21. Department of Infectious Diseases, Bezmialem Vakif University School of Medicine Hospital, Istanbul, Turkey.
Abstract
BACKGROUND: Surgical site infections (SSIs) are a threat to patient safety; however, there were no available data on SSI rates stratified by surgical procedure (SP) in Turkey. METHODS: Between January 2005 and December 2011, a cohort prospective surveillance study on SSIs was conducted by the International Nosocomial Infection Control Consortium (INICC) in 20 hospitals in 16 Turkish cities. Data from hospitalized patients were registered using the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) methods and definitions for SSIs. Surgical procedures (SPs) were classified into 22 types according to International Classification of Diseases, Ninth Revision criteria. RESULTS: We recorded 1879 SSIs, associated with 41,563 SPs (4.3%; 95% confidence interval, 4.3-4.7). Among the results, the SSI rate per type of SP compared with rates reported by the INICC and CDC NHSN were 11.9% for ventricular shunt (vs 12.9% vs 5.6%); 5.3% for craniotomy (vs 4.4% vs 2.6%); 4.9% for coronary bypass with chest and donor incision (vs 4.5 vs 2.9); 3.5% for hip prosthesis (vs 2.6% vs 1.3%), and 3.0% for cesarean section (vs 0.7% vs 1.8%). CONCLUSIONS: In most of the 22 types of SP analyzed, our SSI rates were higher than the CDC NHSN rates and similar to the INICC rates. This study advances the knowledge of SSI epidemiology in Turkey, allowing the implementation of targeted interventions.
BACKGROUND: Surgical site infections (SSIs) are a threat to patient safety; however, there were no available data on SSI rates stratified by surgical procedure (SP) in Turkey. METHODS: Between January 2005 and December 2011, a cohort prospective surveillance study on SSIs was conducted by the International Nosocomial Infection Control Consortium (INICC) in 20 hospitals in 16 Turkish cities. Data from hospitalized patients were registered using the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) methods and definitions for SSIs. Surgical procedures (SPs) were classified into 22 types according to International Classification of Diseases, Ninth Revision criteria. RESULTS: We recorded 1879 SSIs, associated with 41,563 SPs (4.3%; 95% confidence interval, 4.3-4.7). Among the results, the SSI rate per type of SP compared with rates reported by the INICC and CDC NHSN were 11.9% for ventricular shunt (vs 12.9% vs 5.6%); 5.3% for craniotomy (vs 4.4% vs 2.6%); 4.9% for coronary bypass with chest and donor incision (vs 4.5 vs 2.9); 3.5% for hip prosthesis (vs 2.6% vs 1.3%), and 3.0% for cesarean section (vs 0.7% vs 1.8%). CONCLUSIONS: In most of the 22 types of SP analyzed, our SSI rates were higher than the CDC NHSN rates and similar to the INICC rates. This study advances the knowledge of SSI epidemiology in Turkey, allowing the implementation of targeted interventions.