Ma Pilar Barrufet , Alexander Almendral , Àngels Garcia , Oscar del Rio , Carme Agusti , Leonor Invernon , David Coroleu , Enric Limón , Miquel Pujol , members of VINCat caesarean section SSI surveillance
{"title":"2008 - 2022年长春地区医院剖宫产手术部位感染监测","authors":"Ma Pilar Barrufet , Alexander Almendral , Àngels Garcia , Oscar del Rio , Carme Agusti , Leonor Invernon , David Coroleu , Enric Limón , Miquel Pujol , members of VINCat caesarean section SSI surveillance","doi":"10.1016/j.eimce.2024.07.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The VINCat programme focuses on monitoring surgical site infections (SSI) in caesarean sections (CS) performed across affiliated hospitals.</div></div><div><h3>Methods</h3><div>The study included CS performed from 2008 to 2022, with a follow-up of 30 days after the intervention. The analysis of cumulative incidence rate of SSI was stratified into three 5-year periods (Periods 1–3). SSI was defined according to the National Healthcare Safety Network (NHSN) classification. SSI surveillance was carried out in accordance with the methodology established by the VINCat programme.</div></div><div><h3>Results</h3><div>From 2008 to 2022, 36,387 CS were surveyed at 34 hospitals: 13,502 in Period 1, 12,985 in Period 2 and 9900 in Period 3. The mean age was 33 years. Overall, SSI incidence fell from 3.81% in Period 1 to 2.66% in Period 3 (rho<!--> <!-->=<!--> <!-->−0.838; <em>p<!--> </em><<!--> <!-->0.001). Superficial SSI decreased from 3.1% in Period 1 to 2.15% in Period 3 (rho<!--> <!-->=<!--> <!-->−0.795; <em>p</em> <!--><<!--> <!-->0.001). The rate of organ-space SSI remained consistent across all three periods, maintaining a rate of 0.27 (rho<!--> <!-->=<!--> <!-->−0.092; <em>p<!--> </em>=<!--> <!-->0.745). Culture was performed in 58.9% of infections. The microorganisms most frequently identified were <em>Staphylococcus aureus</em> (20.64%), Coagulase-negative staphylococci (CoNS) (13.52%), and <em>Escherichia coli</em> (11.27%). Antibiotic prophylaxis was appropriate in 73.76% of the procedures.</div></div><div><h3>Conclusions</h3><div>Appropriate monitoring of post-CS SSI rates allows the implementation of preventive measures to reduce their incidence.</div></div>","PeriodicalId":72916,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica (English ed.)","volume":"43 ","pages":"Pages S37-S43"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Surveillance of surgical site infections among caesarean section in VINCat hospitals: Results from 2008 to 2022\",\"authors\":\"Ma Pilar Barrufet , Alexander Almendral , Àngels Garcia , Oscar del Rio , Carme Agusti , Leonor Invernon , David Coroleu , Enric Limón , Miquel Pujol , members of VINCat caesarean section SSI surveillance\",\"doi\":\"10.1016/j.eimce.2024.07.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>The VINCat programme focuses on monitoring surgical site infections (SSI) in caesarean sections (CS) performed across affiliated hospitals.</div></div><div><h3>Methods</h3><div>The study included CS performed from 2008 to 2022, with a follow-up of 30 days after the intervention. The analysis of cumulative incidence rate of SSI was stratified into three 5-year periods (Periods 1–3). SSI was defined according to the National Healthcare Safety Network (NHSN) classification. SSI surveillance was carried out in accordance with the methodology established by the VINCat programme.</div></div><div><h3>Results</h3><div>From 2008 to 2022, 36,387 CS were surveyed at 34 hospitals: 13,502 in Period 1, 12,985 in Period 2 and 9900 in Period 3. The mean age was 33 years. Overall, SSI incidence fell from 3.81% in Period 1 to 2.66% in Period 3 (rho<!--> <!-->=<!--> <!-->−0.838; <em>p<!--> </em><<!--> <!-->0.001). Superficial SSI decreased from 3.1% in Period 1 to 2.15% in Period 3 (rho<!--> <!-->=<!--> <!-->−0.795; <em>p</em> <!--><<!--> <!-->0.001). The rate of organ-space SSI remained consistent across all three periods, maintaining a rate of 0.27 (rho<!--> <!-->=<!--> <!-->−0.092; <em>p<!--> </em>=<!--> <!-->0.745). Culture was performed in 58.9% of infections. The microorganisms most frequently identified were <em>Staphylococcus aureus</em> (20.64%), Coagulase-negative staphylococci (CoNS) (13.52%), and <em>Escherichia coli</em> (11.27%). 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Surveillance of surgical site infections among caesarean section in VINCat hospitals: Results from 2008 to 2022
Background
The VINCat programme focuses on monitoring surgical site infections (SSI) in caesarean sections (CS) performed across affiliated hospitals.
Methods
The study included CS performed from 2008 to 2022, with a follow-up of 30 days after the intervention. The analysis of cumulative incidence rate of SSI was stratified into three 5-year periods (Periods 1–3). SSI was defined according to the National Healthcare Safety Network (NHSN) classification. SSI surveillance was carried out in accordance with the methodology established by the VINCat programme.
Results
From 2008 to 2022, 36,387 CS were surveyed at 34 hospitals: 13,502 in Period 1, 12,985 in Period 2 and 9900 in Period 3. The mean age was 33 years. Overall, SSI incidence fell from 3.81% in Period 1 to 2.66% in Period 3 (rho = −0.838; p < 0.001). Superficial SSI decreased from 3.1% in Period 1 to 2.15% in Period 3 (rho = −0.795; p < 0.001). The rate of organ-space SSI remained consistent across all three periods, maintaining a rate of 0.27 (rho = −0.092; p = 0.745). Culture was performed in 58.9% of infections. The microorganisms most frequently identified were Staphylococcus aureus (20.64%), Coagulase-negative staphylococci (CoNS) (13.52%), and Escherichia coli (11.27%). Antibiotic prophylaxis was appropriate in 73.76% of the procedures.
Conclusions
Appropriate monitoring of post-CS SSI rates allows the implementation of preventive measures to reduce their incidence.
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