Association between the introduction of a national targeted intervention program and the incidence of surgical site infections in Swiss acute care hospitals

Suetens C, Latour K, Kärki T, Ricchizzi E, Kinross P, Moro ML, et al. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill. 2018;23(46):1800516.

Article  PubMed  PubMed Central  Google Scholar 

Zingg W, Metsini A, for Swissnoso. Second national point prevalence survey of healthcare-associated infections and antimicrobial use in Swiss acute care hospitals (2022). Available online at https://www.swissnoso.ch/module/punktpraevalenz-erhebung-hai/resultate.

Belda FJ, Aguilera L, de la Asunción JG, Alberti J, Vicente R, Ferrándiz L, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA. 2005;294(16):2035–42.

Article  CAS  PubMed  Google Scholar 

Edwards JR, Peterson KD, Mu Y, Banerjee S, Allen-Bridson K, Morrell G, et al. National healthcare safety network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control. 2009;37(10):783–805.

Article  PubMed  Google Scholar 

Darouiche RO, Wall MJ Jr, Itani KM, Otterson MF, Webb AL, Carrick MM, et al. Chlorhexidine–alcohol versus povidone–iodine for surgical-site antisepsis. N Engl J Med. 2010;362(1):18–26.

Article  CAS  PubMed  Google Scholar 

Junker T, Mujagic E, Hoffmann H, Rosenthal R, Misteli H, Zwahlen M, et al. Prevention and control of surgical site infections: review of the Basel cohort study. Swiss Med Wkly. 2012;142: w13616.

PubMed  Google Scholar 

Allegranzi B, Bischoff P, de Jonge S, Kubilay NZ, Zayed B, Gomes SM, et al. New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis. 2016;16(12):e276-287.

Article  PubMed  Google Scholar 

Anderson DJ, Kaye KS, Classen D, Arias KM, Podgorny K, Burstin H, et al. Strategies to prevent surgical site infections in acute care hospitals. Infect Control Hosp Epidemiol. 2008;29(S1):S51-61.

Article  PubMed  Google Scholar 

Broex EC, Van Asselt AD, Bruggeman CA, Van Tiel FH. Surgical site infections: how high are the costs? J Hosp Infect. 2009;72(3):193–201.

Article  CAS  PubMed  Google Scholar 

Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect. 2013;14(1):73–156.

Article  Google Scholar 

Senn L, Vuichard D, Widmer AF, Zanetti G, Kuster SP. Aktualisierte Empfehlungen zur perioperativen Antibiotikaprophylaxe in der Schweiz, 2015. Swissnoso. 2015;20(1):1–8.

Google Scholar 

Allegranzi B, Zayed B, Bischoff P, Kubilay NZ, de Jonge S, de Vries F, et al. New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis. 2016;16(12):e288-303.

Article  PubMed  Google Scholar 

Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Healthcare infection control practices advisory committee. Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg. 2017;152(8):784–91.

Article  PubMed  Google Scholar 

National Institute for Health and Clinical Excellence (Great Britain). Surgical site infection: prevention and treatment of surgical site infection. National Institute for Health and Clinical Excellence; 2008.

Schreiber PW, Sax H, Wolfensberger A, Clack L, Kuster SP. The preventable proportion of healthcare-associated infections 2005–2016: systematic review and meta-analysis. Infect Control Hosp Epidemiol. 2018;39(11):1277–95.

Article  PubMed  Google Scholar 

Abbas M, de Kraker ME, Aghayev E, Astagneau P, Aupee M, Behnke M, et al. Impact of participation in a surgical site infection surveillance network: results from a large international cohort study. J Hosp Infect. 2019;102(3):267–76.

Article  CAS  PubMed  Google Scholar 

Swissnoso on behalf of the Swiss National Association for Quality Development in Hospitals and Clinics (ANQ). Nationaler Vergleichsbericht 2020/21, June 2022, Available online at https://www.swissnoso.ch/module/ssi-surveillance/resultate.

Troillet N, Aghayev E, Eisenring M-C, Widmer AF, Swissnoso. First results of the Swiss national surgical site infection surveillance program: who seeks shall find. Infect Control Hosp Epidemiol. 2017;38(6):697–704.

Article  PubMed  Google Scholar 

Schweizer ML, Chiang HY, Septimus E, Moody J, Braun B, Hafner J, et al. Association of a bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery. JAMA. 2015;313(21):2162–71.

Article  CAS  PubMed  Google Scholar 

Vicentini C, Bordino V, Cornio AR, Canta I, Marengo N, Zotti CM. Surgical site infection prevention through bundled interventions in hip replacement surgery: a systematic review. Int J Surg. 2021;95: 106149.

Article  PubMed  Google Scholar 

Koek MB, Hopmans TE, Soetens LC, Wille JC, Geerlings SE, Vos MC, et al. Adhering to a national surgical care bundle reduces the risk of surgical site infections. PLoS ONE. 2017;12(9): e0184200.

Article  PubMed  PubMed Central  Google Scholar 

Anthony T, Murray BW, Sum-Ping JT, Lenkovsky F, Vornik VD, Parker BJ, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263–9.

Article  PubMed  Google Scholar 

Kuster SP, Eisenring MC, Sax H, Troillet N, Swissnoso. Structure, process, and outcome quality of surgical site infection surveillance in Switzerland. Infect Control Hosp Epidemiol. 2017;38(10):1172–81.

Article  PubMed  Google Scholar 

Sommerstein R, Atkinson A, Kuster SP, Vuichard-Gysin D, Harbarth S, Troillet N, et al. Association between antimicrobial prophylaxis with double-dose cefuroxime and surgical site infections in patients weighing 80 kg or more. JAMA Netw Open. 2021;4(12): e2138926.

Article  PubMed  PubMed Central  Google Scholar 

ANQ. Swiss national association for quality development in hospitals and clinics. Available online under https://www.anq.ch/en/.

Swissnoso. Teilnehmerhandbuch für das Modul SSI Intervention zur Prävention von postoperativen Wundinfektionen (participant handbook for the SSI intervention module on postoperative wound infections), Version 11.2 vom 08. Juli 2022. Available on request. Information available online at https://www.swissnoso.ch.

Roth JA, Schwab C, Atkinson A, von Flüe M, Kettelhack C, Eckstein FS, et al. Are three antiseptic paints needed for safe preparation of the surgical field? A prospective cohort study with 239 patients. Antimicrob Resist Infect Control. 2020;9(1):120.

Article  PubMed  PubMed Central  Google Scholar 

Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection hospital infection control practices advisory committee. Infect Control Hosp Epidemiol. 1999;20(4):250–78.

CAS  PubMed  Google Scholar 

Ogrinc G, Davies L, Goodman D. SQUIRE 2.0: revised publication guidelines from a detailed consensus process standards for quality improvement reporting excellence: revised publication guidelines from a detailed consensus process. BMJ Qual Saf. 2016;25:986–92.

Article  PubMed  Google Scholar 

Vos RJ, Van Putte BP, Kloppenburg GT. Prevention of deep sternal wound infection in cardiac surgery: a literature review. J Hosp Infect. 2018;100(4):411–20.

Article  CAS  PubMed  Google Scholar 

Toh JW, Phan K, Hitos K, et al. Association of mechanical bowel preparation and oral antibiotics before elective colorectal surgery with surgical site infection: a network meta-analysis. JAMA Netw Open. 2018;1(6): e183226.

Article  PubMed  PubMed Central  Google Scholar 

Futier E, Garot M, Godet T, Biais M, Verzilli D, Ouattara A, et al. Effect of oral antimicrobial prophylaxis on surgical site infection after elective colorectal surgery: multicentre, randomised, double blind, placebo controlled trial. BMJ. 2022;379: e071476.

Article  PubMed  PubMed Central  Google Scholar 

Jurt J, Hübner M, Clerc D, Curchod P, Abd El Aziz MA, Hahnloser D, et al. Challenges related to surgical site infection prevention—results after standardized bundle implementation. J Clin Med. 2021;10(19):4524.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Keenan JE, Speicher PJ, Thacker JK, Walter M, Kuchibhatla M, Mantyh CR. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. JAMA Surg. 2014;149(10):1045–52.

Article  PubMed  Google Scholar 

Pop-Vicas AE, Abad C, Baubie K, Osman F, Heise C, Safdar N. Colorectal bundles for surgical site infection prevention: a systematic review and meta-analysis. Infect Control Hosp Epidemiol. 2020;41(7):805–12.

Article  PubMed  Google Scholar 

Swissnoso. Modul SSI Intervention zur Prävention von postoperativen Wundinfektionen (SSI intervention module on preventing postoperative wound infections). Available online at https://www.swissnoso.ch/module/ssi-intervention/ueber-ssi-intervention/das-modul.

Comments (0)

No login
gif