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Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization

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  • Anna Różańska

    (Chair of Microbiology, Jagiellonian University Medical College, Czysta Str. 18, 31-121 Krakow, Poland)

  • Jerzy Rosiński

    (Institute of Economics, Finance and Management, Faculty of Management and Social Communication, Jagiellonian University, 30-348 Krakow, Poland)

  • Andrzej Jarynowski

    (Interdisciplinary Research Institute, 67-200 Głogów, Poland)

  • Katarzyna Baranowska-Tateno

    (District Hospital in Bochnia, 32-700 Bochnia, Poland)

  • Małgorzata Siewierska

    (St. Rose Hospital, 30-394 Krakow, Poland)

  • Jadwiga Wójkowska-Mach

    (Chair of Microbiology, Jagiellonian University Medical College, Czysta Str. 18, 31-121 Krakow, Poland)

  • Polish Society of Hospital Infections Team

    (Team members: Marta Wałaszek, State Higher Vocational School in Tarnów; Joanna Domańska, Institute of Theoretical and Applied Informatics, Polish Academy of Sciences in Gliwice; Joanna Liberda, Henryk Klimontowicz Specialistic Hospital in Gorlice; Agnieszka Misiewska-Kaczur, Voivodeship Hospital in Bielsko-Biała; Marzena Lech, Hospital in Staszów; Małgorzata Rozwadowska, Ujastek Obstetrics and Gynaecology Hospital; Marlena Karwacka, Hospital in Bydgoszcz.)

Abstract

Introduction: WHO core components of healthcare-associated infections (HAIs) prevention and control include their surveillance system. In Poland, there are no widespread multi-center infection surveillance networks based on continuous, targeted, active methodology. One of the most important form of HAIs are surgical site infections (SSIs). The aim of this study was to analyze the incidence of SSIs, in the context of seasonal differentiation. Seasonal differentiation could be connected with weather conditions, but it also can be affected by personnel absence due to holidays and furlough. The second aspect may influence organization of work and increased absenteeism may contribute to lowering the quality of patient care. Healthcare associated infections are the phenomenon which can be especially affected by such factors. Methods: The data used originate from the targeted, active surveillance reports obtained from the six years period, based on the ECDC recommendations. Results: Highest incidence rates of SSIs were found after operations performed in June and August, equal to 1.8% and 1.5% respectively and the lowest in October was 0.8%. These differences were statistically significant: for June incidence: OR 1.6, 95% CI 1.03–2.5, p = 0.015. Another approach showed a significant difference between the level of incidence in the period from November to January together with from June to August (1.35%), comparing to the rest of the year (1.05%). Also the rates of enterococcal and Enterobacterales infections were significantly higher for the period comprising months from November till January and from June to August. In Poland these are periods of increased number of absences associated with summer, national and religious holidays. Conclusions: Our results show that the short-term surveillance data limited to several days or months are not sufficient to obtain a valuable description of the epidemiological situation due to HAI. Efforts should be undertaken in order to implement wide net of hospital acquired infections, including SSI on the country level.

Suggested Citation

  • Anna Różańska & Jerzy Rosiński & Andrzej Jarynowski & Katarzyna Baranowska-Tateno & Małgorzata Siewierska & Jadwiga Wójkowska-Mach & Polish Society of Hospital Infections Team, 2021. "Incidence of Surgical Site Infections in Multicenter Study—Implications for Surveillance Practice and Organization," IJERPH, MDPI, vol. 18(10), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5374-:d:557099
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    References listed on IDEAS

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    1. Róża Słowik & Małgorzata Kołpa & Marta Wałaszek & Anna Różańska & Barbara Jagiencarz-Starzec & Witold Zieńczuk & Łukasz Kawik & Zdzisław Wolak & Jadwiga Wójkowska-Mach, 2020. "Epidemiology of Surgical Site Infections Considering the NHSN Standardized Infection Ratio in Hip and Knee Arthroplasties," IJERPH, MDPI, vol. 17(9), pages 1-10, May.
    2. Małgorzata Kołpa & Marta Wałaszek & Anna Różańska & Zdzisław Wolak & Jadwiga Wójkowska-Mach, 2018. "Hospital-Wide Surveillance of Healthcare-Associated Infections as a Source of Information about Specific Hospital Needs. A 5-Year Observation in a Multiprofile Provincial Hospital in the South of Pola," IJERPH, MDPI, vol. 15(9), pages 1-10, September.
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