State Higher Vocational School in Tarnów, 33-100 Tarnów, Poland.
St. Luke's Provincial Hospital in Tarnów, 33-100 Tarnów, Poland.
Medicina (Kaunas). 2022 May 20;58(5):682. doi: 10.3390/medicina58050682.
: Surgical site infections (SSIs) are the most common healthcare-associated infections (HAIs) in surgical wards. The highest risk of developing SSI is carried by operations involving implants, such as: hip prosthesis (HPRO), knee prosthesis (KPRO), open reduction of fracture (FX), and closed reduction of fracture with internal fixation (CR). Objectives. The objective of the study was to assess the incidence of SSI in patients subjected to HPRO, KPRO, FX, and CR procedures in orthopaedics and trauma wards in 2014-2018 considering risk factors included in the SIR index. : The study included 6261 patients who were subjected to orthopaedic surgery in 2014-2018. The investigation covered three hospitals with orthopaedics and trauma wards. The research was conducted in the framework of the national HAI surveillance programme according to the methodology of the HAI-Net, ECDC. : A total of 6261 surgeries were investigated, of which 111 cases of SSI were detected. The incidence was 1.8%; HPRO (incidence 2.1%, median (Me) surgery duration 90 min, and standardized infection ratio (SIR) above 1 in all units tested); KPRO (incidence 2.0%, Me 103 min, and SIR above 1 for all units tested); FX (incidence 1.9%, Me 70 min, and SIR above 1 for two units tested and below 1 in one unit); CR (incidence 1.0%, Me 55 min, and SIR-not calculated). The etiological agents that were most frequently isolated from patients with SSI were Staphylococcus aureus, coagulase-negative Staphylococcus, and Klebsiella pneumoniae. : HPRO, KPRO, and FX operations performed in the studied wards carried a higher risk of developing SSI than that predicted by SIR. SSIs accounted for a significant percentage of the overall infection pool in CR surgeries. Actions should be undertaken to reduce the incidence of SSI in these surgeries. There should be a hospital network which facilitates cooperation in order to better monitor and analyse the incidence of SSI.
: 手术部位感染（SSI）是外科病房中最常见的医疗相关感染（HAI）。发生 SSI 的风险最高的是涉及植入物的手术，例如：髋关节假体（HPRO）、膝关节假体（KPRO）、骨折切开复位（FX）和骨折闭合复位内固定（CR）。目的。本研究的目的是评估 2014-2018 年在骨科和创伤病房接受 HPRO、KPRO、FX 和 CR 手术的患者的 SSI 发生率，同时考虑 SIR 指数中包含的危险因素。 : 该研究纳入了 6261 名 2014-2018 年接受骨科手术的患者。调查涵盖了 3 家设有骨科和创伤病房的医院。该研究是在国家 HAI 监测计划的框架内，根据 ECDC 的 HAI-Net 方法进行的。 : 共调查了 6261 例手术，其中发现 111 例 SSI。发生率为 1.8%；HPRO（发生率 2.1%，中位数（Me）手术时间 90 分钟，所有测试单位的标准化感染比（SIR）均高于 1）；KPRO（发生率 2.0%，Me 手术时间 103 分钟，所有测试单位的 SIR 均高于 1）；FX（发生率 1.9%，Me 手术时间 70 分钟，两个单位的 SIR 高于 1，一个单位的 SIR 低于 1）；CR（发生率 1.0%，Me 手术时间 55 分钟，SIR 未计算）。从 SSI 患者中分离出的最常见病原体是金黄色葡萄球菌、凝固酶阴性葡萄球菌和肺炎克雷伯菌。 : 在研究病房进行的 HPRO、KPRO 和 FX 手术比 SIR 预测的 SSI 风险更高。SSI 占 CR 手术总感染池的很大比例。应采取行动降低这些手术中 SSI 的发生率。应建立医院网络，以促进合作，以便更好地监测和分析 SSI 的发生率。
