Journal of Infection and Public HealthJournal Country: Saudi Arabia ISSN: 1876-0341 ISSN E: 1876-035X Type of Publication: Journal Article Category: Humans, Male, Female, Country of Research: WHO Western Pacific Region Cambodia Type of Research: Clinical Keywords: Health Systems,Community Health, Prospective Studies ,Patient Discharge ,Incidence ,Follow-up Studies
Subjects:Surgical Wound Infection
Barriers to the implementation of the Centers for Disease Control and Prevention [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
,Margaux Isnard ,Saphy So ,Sophors Chan ,Bunn Duong ,
Active prospective surveillance study with post-discharge surveillance of surgical site infections in Cambodia,
Oman Med. J. 2015;
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