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Surgical site infections in Slovenian acute care hospitals: Surveillance results, 2013–2016


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Patient and operation related characteristics, surgical site infections (SSIs) cumulative incidence and SSIs incidence density by surgical category: Slovenian SSIs surveillance results (2013-2016) and EU/EEA SSIs surveillance results (2013-2014).

Caesarean sectionCholecystectomyColon surgeryHip prosthesisKnee prosthesis
SloveniaEU/EEA

results of SSIs surveillance conducted in EU/EEA countries published by the European Centre for Disease Prevention and Control (see reference 7);

SloveniaEU/EEA

results of SSIs surveillance conducted in EU/EEA countries published by the European Centre for Disease Prevention and Control (see reference 7);

SloveniaEU/EEA

results of SSIs surveillance conducted in EU/EEA countries published by the European Centre for Disease Prevention and Control (see reference 7);

SloveniaEU/EEA

results of SSIs surveillance conducted in EU/EEA countries published by the European Centre for Disease Prevention and Control (see reference 7);

SloveniaEU/EEA

results of SSIs surveillance conducted in EU/EEA countries published by the European Centre for Disease Prevention and Control (see reference 7);

SSI surveillance period20132013–20142013-20162013–20142013–20142013–20142013–20142013–20142013–20142013–2014
Number of hospitals4-3-1-1-1-
Number of operations313199 546620102 6224761 03151329 74949201 197
Median age (years)3131d5556

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

7569

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

7172

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

7270

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

ASA

ASA score was ascertained according to the protocol for the surveillance of SSIs in Europe published by the European Centre for Disease Prevention and Control (see reference 9);

≥ 3 (%)
1.0-13.2-36.2-43.1-57.1-
Urgent operations (%)55.953.6

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

18.717.4

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

21.318.2

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

010.5

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

02.1

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

Contaminated or dirty wounds (%)06.3

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

3.415.4

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

14.930.4

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

01.3

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

00.7

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

Antibiotic prophylaxis

antibiotic prophylaxis within two hours before incision or during surgery for caesarean section;

(%)
91.484.6

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

27.348.3

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

97.990.2

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

94.197.2

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

89.898.2

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

Median duration of operation (minutes)3537

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

5260

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

125140

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

7075

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

7579

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

Total number of SSIs1444433618551357842355301103
Median length of post-operative stay (days)54

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

23

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

78

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

67

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

65

results based only on patient-based data collected according to the protocol for the surveillance of in Europe published by the European Centre for Disease Prevention and Control (see reference 9).

Number of post-operative patient-days1 611852 3211 758454 281443688 9313912 674 0193221 322 030
Total number of SSIs before discharge659412684113 90211 2310256
SSIs cumulative incidence (%)4.52.25.81.827.79.53.91.100.6
(95 % CI)(2.5-7.4)(2.2-2.3)(4.1-7.9)(1.7-1.9)(15.6-42.6)(9.2-9.7)(0.5-13.5)(1.0-1.1)(0.0-7.3)(0.5-0.6)
Individual Slovenian hospitals estimates0 / 0 / 0,8 /13.83.3/4.0/ 22.1NANANA
Variation in European hospitals Mean1.81.69.21.20.6
Median0.80.98.30.70.0
(10th percentile – 90th percentile)(0.0-4.7)(0.0-4.3)(1.4-18.1)(0.0-3.1)(0.0-1.8)
In-hospital SSIs incidence density / 1000 post-operative patient-days3.70.76.81.524.85.72.60.500.2
(95 % CI)(1.4-8.1)(0.6-0.8)(3.5-11.9)(1.4-1.6)(12.5 – 44.0)(5.5-5.8)(0.1-14.2)(0.4-0.5)(0.0-11.4)(0.2-0.2)
Individual Slovenian hospitals0 / 0 / 04.1 / 9.2 /NANANA
estimates/ 11.511.9
Variation in European hospitals Mean0.71.45.60.50.2
Median0.00.04.80.00.0
(10th percentile – 90th percentile)(0.0-1.8)(0.0-4.2)(0.0-11.5)(0.0-1.4)(0.0-0.6)
eISSN:
1854-2476
Language:
English
Publication timeframe:
4 times per year
Journal Subjects:
Medicine, Clinical Medicine, Hygiene and Environmental Medicine