title: [Surveillance of surgical-site infections: results of the INCISO 1998 Network].
abstract: OBJECTIVE
  Surveillance of Surgical-Site Infection (SSI) in general and visceral surgical departments.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Inter-regional Co-ordinating Center for Nosocomial Infection Control (C.CLIN Paris-Nord). Regions of Ile de France, Haute Normandie, Nord-Pas de Calais and Picardie.
  
  
  METHODS
  From January 1 to April 1, 1998, each surgical department had included 200 consecutive operations. To diagnose SSI occurring after discharge, patients were followed during one month after surgery. SSI were defined according to standardized criteria.
  
  
  RESULTS
  Overall, 16.506 surgeries were followed in 120 surgical units. The rate of postoperative SSI was 3.9% (95CI = [3.6%-4.2%]). The rate of SSI varied from 5.2% for digestive surgery to 0.9% for endocrine system, and 2.3% for cholecystectomy to 16.6% for peritonitis. According to the NNIS index, SSI rates increased from 2.2% for patients with a risk index of 0 to 26.7% for patients with a risk index of 3. The case fatality rate directly or indirectly attributable to SSI was 2.0% (95CI = [1.1%-3.5%]).
  
  
  CONCLUSIONS
  The high incidence of SSI render crucial the implementation of SSI surveillance in surgery. Risk factors and type of surgical procedures are required to obtain standardized rates for comparisons between services.
authors.affiliation: Centre inter-régional de Coordination de la Lutte contre les Infections Nosocomiales (C.CLIN Paris-Nord).
authors.forename: F
authors.initials: F
authors.lastname: Golliot
authors.forename: P
authors.initials: P
authors.lastname: Astagneau
authors.forename: G
authors.initials: G
authors.lastname: Brücker
mesh_terms: D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011159:Population Surveillance; D013514:Surgical Procedures, Operative; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013997:Time Factors