Correlation of risk and postoperative assessment methods in wound surveillance.
BACKGROUND
Various surveillance methods have been described for surveillance of surgical site infections (SSI). The aim of this study was to examine practicality of SSI risk assessment methods (Study on the Efficacy of Nosocomial Infection Control [SENIC] and National Nosocomial Infections Surveillance [NNIS]) with a postoperative wound monitoring scale (ASEPSIS) as an outcome assessment measure.


METHODS
Patients were followed with a prospective data chart from January 1, 2003, to December 31, 2005. Correlation of SENIC and NNIS together with ASEPSIS were performed.


RESULTS
During the study period, 222 SSI occurred. SSIs were determined within the 21-d period after operations. Correlation between SENIC with ASEPSIS (r(s) = 0.47, P < 0.001) was found better than that for NNIS with ASEPSIS (r(s) = 0.41, P < 0.001). Type of operation (emergency versus elective), body mass index, operation class, and American Society of Anesthesiologists scores were found independently predictive factors for SSI.


CONCLUSIONS
This study indicates weak but significant correlation between preoperative risk assessment methods for SSI and ASEPSIS.
Topaloglu
Serdar
S
First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey. serdartopaloglu@yahoo.com
Akin
Merve
M
Avsar
Fatih M
FM
Ozel
Hakan
H
Polat
Erdal
E
Akin
Tezcan
T
Karabulut
Erdem
E
Hengirmen
Suleyman
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019072:Antibiotic Prophylaxis; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011300:Preoperative Care; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control