Review of Surgical Site Infection Registration Routine at Surgery Departments in Sweden and Validation of One of the Used Routines

NCT01971138 | Completed

• 1 other identifier: 121020-V02
• Study Type: observational
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

This study explores the routines of registration of surgical site infections (SSI) at different surgical centers in Sweden. It explores the sensitivity and specificity of the registration routines of SSI are at Halmstad County Hospital, Sweden.

Conditions

Surgical Site Infections

Outcome Measures

Primary Outcomes (2)

• In which proportion do surgical clinics in Sweden register Surgical Site Infections

  A questionnaire will be sent to every surgical clinic in Sweden. This study will then summarize in what way the surgical clinics in Sweden perform their SSI surveillance.

  spring 2013

• In which proportion does the routine SSI registration at Halmstad County Hospital register the actual number of SSI´s.

  Aiming to validate the SSI surveillance at Halmstad County Hospital. Patients who underwent elective colorectal resection between 2007-2008 were identified for inclusion in the study. A total of 66 patient were included. They were followed prospectively for four weeks and were controlled daily regarded SSI as a part of the study. After these four weeks the patients also filled a form regarding SSI. This group where then used as a control group. The results from the SSI registration routine at Halmstad County Hospital were then compared with the control group regarded SSI.

  up to four years

Secondary Outcomes (4)

• Which method is used for routine registration of SSI´s in Sweden.

  spring 2013

• How is the SSI classified in different hospitals in Sweden.

  spring 2013

• How is the variation of SSI at the surgical clinic in Halmstad County Hospital, Sweden, the last 10 years.

  for 10 years

• How large the difference have to be between in registered SSI frequency to surely detect a deviation in SSI presence

  for 10 years

Study Arms (1)

Surgical site infection registration

Is there a routine for SSI registration

Other: this is a survey

Interventions

this is a survey OTHER

Surgical site infection registration

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Surgical clinics in Sweden.

You may qualify if:

• Surgical Clinics in Sweden that report tho the Swedish national register for Colorectal Cancer.

You may not qualify if:

• Clinics that dosen´t report.

Sponsors & Collaborators

• Halmstad County Hospital: lead

Study Sites (1)

Halmstad County Hospital

Halmstad, Halland County, 30232, Sweden

Location

Related Publications (6)

• Kirkland KB, Briggs JP, Trivette SL, Wilkinson WE, Sexton DJ. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol. 1999 Nov;20(11):725-30. doi: 10.1086/501572.

  PMID: 10580621 BACKGROUND

• Smyth ET, Emmerson AM. Surgical site infection surveillance. J Hosp Infect. 2000 Jul;45(3):173-84. doi: 10.1053/jhin.2000.0736.

  PMID: 10896795 BACKGROUND

• Degrate L, Garancini M, Misani M, Poli S, Nobili C, Romano F, Giordano L, Motta V, Uggeri F. Right colon, left colon, and rectal surgeries are not similar for surgical site infection development. Analysis of 277 elective and urgent colorectal resections. Int J Colorectal Dis. 2011 Jan;26(1):61-9. doi: 10.1007/s00384-010-1057-8. Epub 2010 Oct 5.

  PMID: 20922541 BACKGROUND

• Malone DL, Genuit T, Tracy JK, Gannon C, Napolitano LM. Surgical site infections: reanalysis of risk factors. J Surg Res. 2002 Mar;103(1):89-95. doi: 10.1006/jsre.2001.6343.

  PMID: 11855922 BACKGROUND

• Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999 Apr;27(2):97-132; quiz 133-4; discussion 96.

  PMID: 10196487 BACKGROUND

• Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Am J Infect Control. 1992 Oct;20(5):271-4. doi: 10.1016/s0196-6553(05)80201-9. No abstract available.

  PMID: 1332552 BACKGROUND

MeSH Terms

Conditions

Surgical Wound Infection

Condition Hierarchy (Ancestors)

Wound Infection; Infections; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Claes Hjalmarsson, MD, PhD

  Halmstad County Hospital, Halmstad, Sweden

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD

Study Record Dates

• First Submitted: August 28, 2013
• First Posted: October 29, 2013
• Study Start: March 1, 2013
• Primary Completion: April 1, 2013
• Last Updated: October 29, 2013

Record last verified: 2013-10

Locations

SE (1)