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首页> 外文期刊>Infection control and hospital epidemiology >An operating surveillance system of surgical-site infections in The Netherlands: results of the PREZIES national surveillance network. Preventie van Ziekenhuisinfecties door Surveillance.
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An operating surveillance system of surgical-site infections in The Netherlands: results of the PREZIES national surveillance network. Preventie van Ziekenhuisinfecties door Surveillance.

机译：荷兰手术现场感染的运行监控系统：PREZIES国家监控网络的结果。预防范兹肯惠氏感染门的监视。

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OBJECTIVES: To describe the results of the first year of the Dutch national surveillance of surgical-site infections (SSIs) and risk factors, which aims to implement a standardized surveillance system in a network of Dutch hospitals, to collect comparable data on SSIs to serve as a reference, and to provide a basic infrastructure for further intervention research. DESIGN: Prospective multicenter cohort study. SETTING: Acute-care hospitals in The Netherlands from June 1996 to May 1997. RESULTS: 38 hospitals participated, with a slight over-representation of larger hospitals. Following a total of 18,063 operations, 562 SSIs occurred, of which 198 were deep. Multivariate analysis of pooled procedures shows that age, preoperative length of stay, wound contamination class, anesthesia score, and duration of surgery were independent risk factors for SSI. When analyzed by procedure, the relative importance of these risk factors changed. Bacteriological documentation was available for 56% of the SSIs; 35% of all isolates were Staphylococcus aureus. Multiple regression analysis computed the mean extra postoperative length of stay associated with SSI to be 8.2 days. CONCLUSION: The first year of national surveillance has shown that it is feasible to collect comparable data on SSI, which are already used for education, policy, and decision making in the network of participating hospitals. This gives room to effectuate the next aim, namely to use the network as an infrastructure for intervention research. Multivariate analysis shows that feedback on a procedure-specific level is important.
机译：目的：描述荷兰全国手术部位感染（SSI）和危险因素监测第一年的结果，该结果旨在在荷兰医院网络中实施标准化的监测系统，以收集可服务的SSI的可比数据作为参考，并为进一步的干预研究提供基础基础。设计：前瞻性多中心队列研究。地点：1996年6月至1997年5月在荷兰的急诊医院。结果：38家医院参加了该医院，较大医院的人数略有过多。在总共进行了18,063次操作之后，发生了562个SSI，其中198个深度较深。合并手术的多变量分析表明，年龄，术前住院时间，伤口污染等级，麻醉评分和手术时间是SSI的独立危险因素。通过程序分析时，这些风险因素的相对重要性发生了变化。 56％的SSI可获得细菌学文档;所有分离物的35％为金黄色葡萄球菌。多元回归分析计算出，与SSI相关的术后平均额外住院时间为8.2天。结论：国家监督的第一年表明，收集有关SSI的可比数据是可行的，这些数据已用于参与医院网络的教育，政策和决策制定。这为实现下一个目标留出了空间，即将网络用作干预研究的基础架构。多变量分析表明，在特定过程级别的反馈很重要。

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