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Use of health databases to deal with underreporting of surgical site infections due to suboptimal post-discharge follow-up.
Journal of Hospital Infection ( IF 3.9 ) Pub Date : 2019-09-13 , DOI: 10.1016/j.jhin.2019.09.009
C Gagliotti 1 , R Buttazzi 1 , A Ricciardi 1 , E Ricchizzi 1 , G Lanciotti 2 , M L Moro 1
Affiliation  

This study describes a combined surveillance of surgical site infection implemented in an Italian region, which relies on integration of the specific surveillance (SIChER) with other sources and the targeted review of a small proportion of cases. Additional information on post-surgical follow-up was obtained from hospital discharge, microbiology laboratory and emergency department databases. Based on these data, 76 patients were reclassified as possible cases and revised by the health trust representatives. Eventually 45 new cases were confirmed, leading to an increase in the infection ratio from 1.13% to 1.45%. The proposed method appears to be accurate and sustainable over time.

中文翻译:

使用健康数据库来处理由于出院后随访欠佳而导致的手术部位感染报告不足的情况。

这项研究描述了在意大利地区实施的手术部位感染的联合监视,该监视依赖于将特定监视(SIChER)与其他来源进行整合,并针对一小部分病例进行有针对性的检查。可从出院,微生物学实验室和急诊科数据库获得有关手术后随访的更多信息。根据这些数据,将76名患者重新分类为可能的病例,并由健康信托代表进行修订。最终确认了45例新病例,导致感染率从1.13%增加到1.45%。所提出的方法随着时间的推移似乎是准确和可持续的。
更新日期:2019-09-14
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