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Surveillance des infections du site opératoire : résultats de la base de données nationale ISO-Raisin 1999-2004

Abstract :
Introduction
Surgical-site infections (SSI) are one of the nosocomial infections targeted by the national control programme. A database has been set up since 1999 derived from the regional surveillance networks which contribute to the national Nosocomial Infection Alert, Investigation and Surveillance Network (Raisin).
Methods
Every year, each volunteer surgery unit taking part in the surveillance network included 200 operated patients and collected individual data including NNIS risk index components (surgery duration, ASA, wound class) and other peri-operative factors. All the patients included had to be followed up to D30 following surgery, whenever possible. SSI were defined according to usual standard criteria.
Results
Of the 620,176 surgical procedures surveyed between 1999 and 2004, 10,349 SSI were identified (crude incidence rate: 1.7%), including 42% with deep or organ-space infection. SSI incidence varied according to risk NNIS index from 0.9% for lower risk to 14% for higher risk category. For the most commonly surveyed surgical operations, crude SSI incidence varied from 0.2% to 9.2% depending on procedures. Emergency conditions and video-surgery were considered as risk factors in addition to the NNIS risk index for specific procedures. NISS-O SSI incidence decreased for certain operations such as hernioraphia during the study period (- 50%).
Conclusion
SSI surveillance system based on volunteer networks is an interesting tool to estimate the risk of infection in surgery patients, and could provide relevant data to evaluate the impact of the national nosocomial infection control policy.
Document type :
Journal articles
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https://hal-univ-lyon1.archives-ouvertes.fr/hal-02311196
Contributor : Depot 3 Lyon 1 <>
Submitted on : Thursday, October 10, 2019 - 4:57:18 PM
Last modification on : Wednesday, April 29, 2020 - 10:59:29 AM

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  • HAL Id : hal-02311196, version 1

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Citation

P. Astagneau, B. Grandbastien, M. Olivier, Anne Savey, C. Bernet, et al.. Surveillance des infections du site opératoire : résultats de la base de données nationale ISO-Raisin 1999-2004. Bulletin Epidémiologique Hebdomadaire - BEH, Saint-Maurice (Val de Marne) : Institut de veille sanitaire, 2007, pp.97-100. ⟨hal-02311196⟩

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