Prevalence of nosocomial infections after surgery in Greek hospitals: results of two nationwide surveys (Journal article)

Gikas, A./ Roumbelaki, M./ Pediaditis, J./ Nikolaidis, P./ Levidiotou, S./ Kartali, S./ Kioumis, J./ Maltezos, E./ Metalidis, S./ Anevlavis, E./ Haliotis, G./ Kolibiris, H./ Tselentis, Y.

OBJECTIVE: To determine the frequency and type of nosocomial infections (NIs) (especially surgical-site infections [SSIs]), risk factors, and the type and duration of antibiotic use among surgical patients in Greek hospitals. DESIGN: Two point-prevalence studies. SETTING: Fourteen Greek hospitals. PATIENTS: Those in the hospitals during two prevalence surveys undergoing surgery during their stay. RESULTS: In the 1999 survey, 129 of 1,037 surgical patients had developed 148 NIs (14.3%). A total of 1,093 operations were registered, and 49 SSIs (4.5%) were found. In the 2000 survey, 82 of 868 surgical patients had developed 88 NIs (10.1%). A total of 902 operations were registered, and 38 SSIs were detected (4.2%). The median length of stay (LOS) for surgical patients without SSI was 10.0 days (range, 1-19 days); for patients who developed SSI it was 30 days (range, 1-52 days; P < .001). The median LOS prior to surgery for patients without SSI was 1 day (range, 0-4 days); for patients who developed SSI it was 3 days (range, 0-7.5 days; P < .001). Among 30 possible risk factors studied, wound class, LOS prior to surgery, and central venous catheterization were independent predictors of SSI. Median durations of prophylactic antibiotic therapy were 4 days (range, 1-14 days) and 6 days (range, 1-16 days) in the 1999 and 2000 surveys, respectively. CONCLUSION: Surgical patients in Greek hospitals suffered higher rates of SSI than did surgical patients in other developed countries while prophylactic antibiotics were used excessively.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Antibiotic Prophylaxis,Cross Infection/*epidemiology,Data Collection,Female,Greece/epidemiology,Humans,Length of Stay,Male,Prevalence,Risk Factors,Surgical Wound Infection/*epidemiology/prevention & control
ISSN: 0899-823X
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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