[Impact of a surveillance and prevention program on the incidence of wound infections in general surgery. A prospective study].
A prospective study on wound infections incidence was performed using a computer archive program. Data of 7000 patients submitted to surgical procedures from 1980 to 1988 were evaluated regarding a surveillance and a prevention program that was performed at 1984 (short term prophylaxis in contaminated and any clean-contaminated procedures; skin washing before the operation with a soapy solution of povidone iodine; regular report of all data about wound infection incidence to staff). Results were evaluated in four classes and regarding nutritional status. The reduction of wound infection incidence was statistically significant (1.8% vs 5.4%; chi square 63.70, p less than 0.001) and an important reduction was recorded in the malnourished patients (3.0% vs 15.4%; chi square 36.91, p less than 0.001).
Di Palo
S
S
Istituto Scientifico Ospedale S. Raffaele, Università degli Studi di Milano, Cattedra di Patologia Chirurgica.
Ferrari
G
G
Braga
M
M
Cristallo
M
M
Staudacher
C
C
Di Carlo
V
V
D006801:Humans; D015994:Incidence; D007432:Intraoperative Period; D009752:Nutritional Status; D015397:Program Evaluation; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000517:prevention & control*; D013997:Time Factors
Impatto di un programma di sorveglianza e prevenzione sull'incidenza delle infezioni della ferita in chirurgia generale. Studio prospettico.