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

Anna Różańska, Jerzy Rosiński, Andrzej Jarynowski, Katarzyna Baranowska-Tateno, Małgorzata Siewierska, Jadwiga Wójkowska-Mach and Polish Society of Hospital Infections Team
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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.

IJERPH, 2021, vol. 18, issue 10, 1-10

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.

Keywords: surgical site infections; infection control and prevention; surveillance (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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