...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>ANZ journal of surgery >Post-discharge surgical wound infection surveillance in a provincial hospital: follow-up rates, validity of data and review of the literature.
【24h】

Post-discharge surgical wound infection surveillance in a provincial hospital: follow-up rates, validity of data and review of the literature.

机译：省级医院出院后手术伤口感染的监测：随访率，数据有效性和文献复习。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Numerous studies suggest that many surgical site infections (SSI) come to light only after discharge from hospital. With increasing trends towards shorter length of stay and ambulatory day surgery, post-discharge surveillance may become necessary for all infection control programs, but the methodology has yet to be validated and standardized. The overall aim of the present study was to examine the impact of effective post-discharge SSI follow up on the overall SSI rate. METHODS: A prospective targeted surveillance programme of 1291 surgical procedures was conducted at St John of God Health Care Geelong using the standardized National Nosocomial Infections Surveillance (NNIS) METHOD: Questionnaires were sent to surgeons and the results rigorously chased up. Factors giving rise to high follow-up rates and the relationship between follow up, attrition bias and validity of data were explored using a literature search. RESULTS: A post-discharge follow-up rate of 98.7% was achieved. When the post-discharge data were included, the overall SSI rate (6.0% (95% CI: 4.7-7.4)) was more than double that in hospital (2.7% (95% CI: 1.9-3.8)). CONCLUSIONS: An effective post-discharge follow-up programme significantly increased the SSI rate. From the authors' experience and a literature survey, possible ways to achieve high follow-up rates were suggested. It was also recommended that professional and regulating bodies in Australia be encouraged to standardize methodology and set minimum follow-up rates for post-discharge SSI surveillance. Increasing use of computerized hospital database systems for automated data gathering and processing should make this more practicable.
机译：背景：大量研究表明，许多外科手术部位感染（SSI）仅在出院后才被发现。随着越来越短的住院时间和非卧床日间手术的趋势，对于所有感染控制计划来说，出院后监护可能变得必要，但是该方法尚未得到验证和标准化。本研究的总体目标是检查有效的出院后SSI随访对总体SSI率的影响。方法：采用标准化的国家医院感染监测（NNIS）方法，在吉恩郡圣约翰医疗中心进行了一项前瞻性，有针对性的1291例手术监测方法。使用文献搜索探索了导致高随访率的因素以及随访，耗损偏倚和数据有效性之间的关系。结果：出院后随访率达到98.7％。包括出院后数据，总体SSI率（6.0％（95％CI：4.7-7.4））是医院（2.7％（95％CI：1.9-3.8））的两倍多。结论：有效的出院后随访计划显着提高了SSI率。根据作者的经验和文献调查，提出了实现较高随访率的可能方法。还建议鼓励澳大利亚的专业和监管机构对方法进行标准化，并为出院后SSI监测设定最低随访率。越来越多地使用计算机化的医院数据库系统来进行自动数据收集和处理，应该使其更加可行。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号